连续性血液净化治疗在ICU中的应用18例分析

Clinical analysis of CBP in 18 cases of critically ill patient

目的:探讨连续性血液净化治疗(CBP)对ICU危重症患者的治疗价值。方法:18例26次血液净化治疗,治疗前、后查血常规、血生化检查,同时行APACHEⅡ评分、MODS评分。结果:行CBP治疗后血白蛋白水平较治疗前差异无显著意义;血小板计数较CBP前有所升高(P<0.05);APACHEⅡ、MODS评分及血肌酐较治疗前有下降(分别P<0.01、<0.05、<0.01)。结论:CBP治疗是危重症的有效支持治疗之一;尤其对包括肾功能不全在内的MODS患者,更显示其良好疗效。

Objective To study the value of CBP used for critically ill patient in ICU.Methods blood routine,blood biochemistry,serumcreatini ne,albumin were measured pre -and post -CBP;APACHEⅡ?MODS were scored accordingly.Results Blood platelet counts was higher than that of pre -CBP;(P<0.05).there is no significance in plasma albumin change;Serum creati nine and APACHEⅡ/MODS score lowered than that of the p re -CBP;(P<0.01?<0.05?<0.01).Conclusion CBP is one of a effective supportive t herapy for ICU patient;especially f or those MODS including renal insuffic iency.