CAJ | 학술논문

目的:研究分析肾脏替代治疗时间的选择对重症急性肾功能衰竭患者预后的影响.方法:根据急性肾损伤标准将来我院就诊的50例急性肾功能衰竭患者分为Ⅰ期(18例),Ⅱ期(15例),Ⅲ期(17例),均给予肾脏替代治疗,并比较治疗前和治疗后各项指标的差异以及病死率.结果:Ⅰ期病死率为33.33%(6/18)例,Ⅱ期病死率为60.0%(9/15),Ⅲ期病死率为82.35%(14/17),Ⅱ期和Ⅲ期病死率明显高于Ⅰ期病死率(P<0.05).肾脏替代治疗后三组患者的血钾、血尿素氮、血肌酐值以及APACHEⅡ评分等都具有明显的下降,Ⅰ期急性肾功能衰竭患者的血乳酸值明显降低,氧合指数具有明显的升高,但Ⅱ期,Ⅲ期没有明显变化.结论:对重症急性肾功能衰竭患者采用AKIN分期以及肾脏替代治疗对重症急性肾功能衰竭患者的早期诊断和预后具有重要的意义.
목적:연구분석신장체대치료시간적선택대중증급성신공능쇠갈환자예후적영향.방법:근거급성신손상표준장래아원취진적50례급성신공능쇠갈환자분위Ⅰ기(18례),Ⅱ기(15례),Ⅲ기(17례),균급여신장체대치료,병비교치료전화치료후각항지표적차이이급병사솔.결과:Ⅰ기병사솔위33.33%(6/18)례,Ⅱ기병사솔위60.0%(9/15),Ⅲ기병사솔위82.35%(14/17),Ⅱ기화Ⅲ기병사솔명현고우Ⅰ기병사솔(P<0.05).신장체대치료후삼조환자적혈갑、혈뇨소담、혈기항치이급APACHEⅡ평분등도구유명현적하강,Ⅰ기급성신공능쇠갈환자적혈유산치명현강저,양합지수구유명현적승고,단Ⅱ기,Ⅲ기몰유명현변화.결론:대중증급성신공능쇠갈환자채용AKIN분기이급신장체대치료대중증급성신공능쇠갈환자적조기진단화예후구유중요적의의.
Objective: To study the choice of time of renal replacement therapy in patients with severe acute renal failure prognosis. Methods: according to the standards of the future of acute kidney injury in our hospital, 50 cases of acute renal failure patientsⅠ(18 cases),Ⅱ(15 cases),Ⅲ(17 cases), were given the renal replacement therapy, and compared before and after the treatment of each index difference and fatality rate. Results : in the first phase the fatality rate was 33.33% (6\/18) cases, phase I mortality rate was 60% (9\/15), stage Ⅲmortality rate was 82.35% (14\/17),Ⅱ and Ⅲmortality was significantly higher in stage Ⅰfatality rate (P < 0.05). Renal replacement therapy after three groups of patients Serum potassium, serum urea nitrogen, SCr and APACHE Ⅱare obvious decline stage of patients with acute renal failure, blood lactic acid value decreased, oxygenation index has significantly increased, but the stage Ⅱ,Ⅲ stage did not significantly change. Conclusion: in patients with severe acute renal failure with AKIN staging and renal replacement therapy for severe acute renal failure in patients with early diagnosis and prognosis has important significance.