中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
24期
108-109
,共2页
连续性肾替代疗法%重症肾综合征出血热%应用效果
連續性腎替代療法%重癥腎綜閤徵齣血熱%應用效果
련속성신체대요법%중증신종합정출혈열%응용효과
Continuous renal replacement therapy%Severe hemorrhagic fever with renal syndrome%Application effect
目的：研究分析重症肾综合征出血热患者接受连续性肾替代疗法的临床治疗效果。方法选取2014年我院的90例重症肾综合征出血热患者来进行研究分析，将这些患者分成对照组和观察组，均有45例。对照组患者接受传统间断性血液透析治疗，观察组使用连续性肾替代治疗，对两组的临床治疗情况进行对比分析，探讨患者接受哪种治疗方式的效果比较突出。结果对照组和观察组患者的血肌酐、血尿素氮指标对比结果无统计学差异性，P＞0.05；完成治疗后，对照组和观察组的研究指标均有降低，和治疗前比较差异有统计学意义，P＜0.05，其中观察组降低幅度比对照组大，两组结果差异具有统计学意义，P＜0.05；观察组的临床治疗有效率是73.3%，对照组的治疗有效率是95.6%；观察组和对照组对比要具有一定优势。结论重症肾综合征出血热患者使用连续性肾替代疗法治疗的临床效果比较优秀，患者的肾功能有显著的改善，临床治疗有效率比较高。
目的：研究分析重癥腎綜閤徵齣血熱患者接受連續性腎替代療法的臨床治療效果。方法選取2014年我院的90例重癥腎綜閤徵齣血熱患者來進行研究分析，將這些患者分成對照組和觀察組，均有45例。對照組患者接受傳統間斷性血液透析治療，觀察組使用連續性腎替代治療，對兩組的臨床治療情況進行對比分析，探討患者接受哪種治療方式的效果比較突齣。結果對照組和觀察組患者的血肌酐、血尿素氮指標對比結果無統計學差異性，P＞0.05；完成治療後，對照組和觀察組的研究指標均有降低，和治療前比較差異有統計學意義，P＜0.05，其中觀察組降低幅度比對照組大，兩組結果差異具有統計學意義，P＜0.05；觀察組的臨床治療有效率是73.3%，對照組的治療有效率是95.6%；觀察組和對照組對比要具有一定優勢。結論重癥腎綜閤徵齣血熱患者使用連續性腎替代療法治療的臨床效果比較優秀，患者的腎功能有顯著的改善，臨床治療有效率比較高。
목적：연구분석중증신종합정출혈열환자접수련속성신체대요법적림상치료효과。방법선취2014년아원적90례중증신종합정출혈열환자래진행연구분석，장저사환자분성대조조화관찰조，균유45례。대조조환자접수전통간단성혈액투석치료，관찰조사용련속성신체대치료，대량조적림상치료정황진행대비분석，탐토환자접수나충치료방식적효과비교돌출。결과대조조화관찰조환자적혈기항、혈뇨소담지표대비결과무통계학차이성，P＞0.05；완성치료후，대조조화관찰조적연구지표균유강저，화치료전비교차이유통계학의의，P＜0.05，기중관찰조강저폭도비대조조대，량조결과차이구유통계학의의，P＜0.05；관찰조적림상치료유효솔시73.3%，대조조적치료유효솔시95.6%；관찰조화대조조대비요구유일정우세。결론중증신종합정출혈열환자사용련속성신체대요법치료적림상효과비교우수，환자적신공능유현저적개선，림상치료유효솔비교고。
Objective To study the clinical effect of continuous renal replacement therapy in the treatment of severe hemorrhagic fever with renal syndrome. Methods 90 cases of hemorrhagic fever with renal syndrome in our hospital in 2014 were analyzed, and the patients were divided into control group and observation group, 45 cases. Patients in the control group received conventional intermittent hemodialysis treatment, the observation group used continuous renal replacement therapy, the comparative analysis of two groups of clinical treatment and to investigate the patients accept what kind of treatment effect is more obvious. Results In the control group and observation group of patients, serum creatinine, hematuria nitrogen index comparison showed no significant differenc, P>0.05. After the completion of treatment, control group and observation group of indexes were reduced, and before treatment exist difference, P<0.05, which the observation group reduce amplitude than the control group. The results of the two groups have signiifcant difference, P<0.05. In the observation group, the clinical effective rate was 73.3% and the effective rate of the treatment in the control group was 95.6%, the observation group and the control group in contrast to have certain advantages. Conclusion Severe renal syndrome hemorrhagic fever with continuous renal replacement therapy in the treatment of the clinical effect of relatively good, the renal function of the patients with signiifcant improvement, clinical effective rate of the treatment is high can be carried out to promote the use.
