CAJ | 학술논문

目的：探讨应用连续血液净化对糖尿病乳酸酸中毒患者进行抢救治疗的疗效。方法回顾性分析2007年1月～2011年12月共25例糖尿病乳酸酸中毒病例的临床资料。25例分为常规组10例和血液滤过组15例，监测两组患者治疗前后血乳酸、动脉血气，比较两组患者乳酸清除的效果及死亡率。结果两组患者血pH值上升水平、血乳酸下降水平间存在显著性差异（P <0.05），血液滤过组优于常规组；两组病死率之间存在显著性差异（P <0.05）。结论连续血液净化对于糖尿病乳酸性酸中毒患者是很好的治疗手段。
목적：탐토응용련속혈액정화대당뇨병유산산중독환자진행창구치료적료효。방법회고성분석2007년1월～2011년12월공25례당뇨병유산산중독병례적림상자료。25례분위상규조10례화혈액려과조15례，감측량조환자치료전후혈유산、동맥혈기，비교량조환자유산청제적효과급사망솔。결과량조환자혈pH치상승수평、혈유산하강수평간존재현저성차이（P <0.05），혈액려과조우우상규조；량조병사솔지간존재현저성차이（P <0.05）。결론련속혈액정화대우당뇨병유산성산중독환자시흔호적치료수단。
Objective To investigate the therapeutic effect of continuous blood purification in the treatment of diabetic patients with lactic acidosis.MethodsThe clinical data of 25 diabetic patients with lactic acidosis from January 2007 to December 2011 were retrospectively analyzed.25 patients were divided into 10 patients in the conventional group and 15 patients in the blood filtration group. Blood lactate and arterial blood gas in the two groups were monitored before and after treatment,and the effect of lactate clearance and mortality in the two groups were compared. ResultsThere were significant differences in the blood pH value increased level and the blood lactate decreased level between the patients of two groups(P < 0.05), and the blood filtration group was better than that in the conventional group;the difference was significant in mortality between the two groups(P < 0.05).ConclusionContinuous blood purification is a good method for the treatment of diabetic patients with lactic acidosis.