Comparison of Clinical Effects of Continuous Renal Replacement Therapy and Common Hemodialysis with Chronic Kidney Disease Complicated with Heart Failure
Objective To compare the clinical effects of two different methods in the treatment of chronic kidney dis-ease(CKD)complicated with heart failure(HF).Methods A total of ninety-one patients with CKD combined with HF treated in the Department of Critical Care Medicine,Wuwei Liangzhou Hospital from January 2020 to January 2023 were conveniently selected as the study objects.They were divided into control group(n=45,common hemodi-alysis treatment)and observation group[n=46,continuous renal replacement therapy(CRRT)]using random number table method.The clinical efficacy,vital signs,cardiac and renal function indicators of the two groups were com-pared.Results The total clinical effective rate of the observation group was 97.83％,which was higher than the control group's 80.00％,and the difference was statistically significant(x2=5.680,P<0.05).After treatment,the heart rate,re-spiratory rate,mean arterial pressure,blood urea nitrogen,creatinine,and cystatin C decreased in two groups of pa-tients,the observation group was better than those of the control group,and the differences were statistically signifi-cant(all P<0.05).After treatment,the left ventricular ejection fraction and 6-minute walking distance of the two groups increased compared to before treatment,while the left ventricular end diastolic diameter and left ventricular end systolic diameter decreased,and those indexes of the observation group had better than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion CRRT has better clinical efficacy in the treatment of CKD combined with HF,can maintain the stable state of patients'vital signs,effectively improve the car-diac function and renal function of patients,and is beneficial to the outcome of the disease.
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