首页|连续性肾脏替代治疗急性呼吸窘迫综合征的效果及SAA、IL-6、CRP水平分析

连续性肾脏替代治疗急性呼吸窘迫综合征的效果及SAA、IL-6、CRP水平分析

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目的 分析采取连续性肾脏替代方法治疗急性呼吸窘迫综合征的效果.方法 简单随机选取2020年1月—2023年1月府谷县人民医院收治的60例急性呼吸窘迫综合征患者为研究对象,采用随机数表法分为参考组(n=30)和研究组(n=30),参照组采取常规治疗,研究组在参照组基础上进行连续性肾脏替代治疗,比较两组的治疗效果、住院时间、症状缓解时间、血氧指标、炎症因子指标、不良反应发生情况.结果 研究组的治疗总有效率较参考组更高,住院时间和症状缓解时间短于参考组,差异有统计学意义(P均<0.05).治疗后,研究组血氧指标、炎症因子指标均优于参考组,差异有统计学意义(P均<0.05).研究组不良反应总发生率(6.67%)低于参考组(26.67%),差异有统计学意义(χ2=4.320,P<0.05).结论 临床上采取连续性肾脏替代方法治疗急性呼吸窘迫综合征,可以明显降低患者的炎性水平,提高预后生活水平,具备临床应用价值.
Effectiveness of Continuous Renal Replacement Therapy for Acute Respi-ratory Distress Syndrome and Analysis of SAA,IL-6,and CRP Levels
Objective To analyze the effect of adopting a continuous renal replacement therapy for the treatment of acute respiratory distress syndrome.Methods Sixty patients with acute respiratory distress syndrome admitted to Fugu County People's Hospital from January 2020 to January 2023 were simple randomly selected as the study subjects,and were divided into the reference group(n=30)and the study group(n=30)by using the method of random number table.The reference group was treated with conventional therapy,and the study group was treated with continuous re-nal replacement therapy on the basis of the reference group.Compare the treatment effect,hospitalization time,symp-tom relief time,blood oxygen index,inflammatory factor index,and the occurrence of adverse reactions in the two groups.Results The study group had a higher treatment efficiency than the reference group,and the hospitalization time and symptom relief time were shorter than those of the reference group,and the differences were statistically sig-nificant(all P<0.05).After treatment,the blood oxygen index and inflammatory factor index of the study group were better than that of the reference group,and the differences were statistically significant(all P<0.05).The total inci-dence of adverse reactions in the study group(6.67%)was lower than that in the reference group(26.67%),and the dif-ference was statistically significant(χ2=4.320,P<0.05).Conclusion Clinical adoption of continuous renal replacement method for the treatment of acute respiratory distress syndrome can significantly reduce the level of inflammation in patients,improve the prognosis of living standard,with clinical application value.

Acute respiratory distress syndromeInflammatory factorsAdverse effectsTreatment efficiencyContinuous renal replacement therapy

柴雄兵、王亨、韩婷姣

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府谷县人民医院肾内科,陕西 榆林 719499

府谷县人民医院呼吸内科,陕西 榆林 719499

急性呼吸窘迫综合征 炎症因子 不良反应 治疗有效率 连续性肾脏替代疗法

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(17)