CAJ | 학술논문

目的：探讨心血管外科术后急性肾功能衰竭（ARF）患者的处理方法与效果。方法随机抽取我院2011年1月～2015年3月接诊的心血管外科术后ARF患者41例作为研究对象，回顾性分析他们的临床资料，均采取连续性肾脏替代疗法（CRRT）治疗，总结临床效果。结果所有患者均顺利完成治疗，存活率为92.68％，均无严重并发症发生；治疗后尿素氮、肌酐、钾离子、氯离子、总胆红素均有明显改善，相较于治疗前差异均有统计学意义（P＜0.05），但钠离子对比无显著性差异（P＞0.05）；此外，本组患者治疗后SF-36评分要显著高于治疗前，对比差异有统计学意义（P＜0.05）。结论心血管外科术后急性肾功能衰竭比较常见，应加强重视，而实施CRRT治疗可取得不错的效果，明显改善肾功能指标与生活质量，值得借鉴。
목적：탐토심혈관외과술후급성신공능쇠갈（ARF）환자적처리방법여효과。방법수궤추취아원2011년1월～2015년3월접진적심혈관외과술후ARF환자41례작위연구대상，회고성분석타문적림상자료，균채취련속성신장체대요법（CRRT）치료，총결림상효과。결과소유환자균순리완성치료，존활솔위92.68％，균무엄중병발증발생；치료후뇨소담、기항、갑리자、록리자、총담홍소균유명현개선，상교우치료전차이균유통계학의의（P＜0.05），단납리자대비무현저성차이（P＞0.05）；차외，본조환자치료후SF-36평분요현저고우치료전，대비차이유통계학의의（P＜0.05）。결론심혈관외과술후급성신공능쇠갈비교상견，응가강중시，이실시CRRT치료가취득불착적효과，명현개선신공능지표여생활질량，치득차감。
Objective To study the treatment methods and effects of acute renal failure(ARF) after cardiovascular surgical operation.Methods41 patients with ARF after cardiovascular surgical operation, who were treated in our hospital from January 2011 to March 2015, were randomly selected as the research objects. To retrospectively analyze the clinical data which were treated with continuous renal replacement therapy(CRRT), to summarize the clinical effect.ResultsAll of the patients were favorably completed the treatment, with the survival rate of 92.68%, without serious complication occurrence. Urea nitrogen, creatinine, potassium ion, chloride ion, total bilirubin after treatment were obviously improved than which before treatment, the differences was statically significant(P<0.05), while the improvement of sodium ion was no significant difference(P>0.05), furthermore, the SF-36 score after treatment was significantly higher than which before treatment, the differences was statically significant(P<0.05).Conclusion CRRT in the treatment of ARF after cardiovascular surgical operation which is more common and should be attached more attention, could obtain good effect, could obvious improve the indexes of renal function and the quality of life, is worthy of reference.