首页|连续性血液净化对重症心力衰竭合并肾衰竭患者心肾功能指标的影响

连续性血液净化对重症心力衰竭合并肾衰竭患者心肾功能指标的影响

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目的 探究重症心力衰竭合并肾衰竭患者应用连续性血液净化对心肾功能的改善效果.方法 随机选取2018年1月—2023年12月中国人民解放军联勤保障部队第九〇三医院收治的150例重症心力衰竭合并肾衰竭患者为研究对象,根据不同治疗方法分为研究组、参照组,每组75例.参照组行血液净化治疗,研究组行连续性血液净化治疗,比较两组患者的生命体征、血气指标、心功能、肾功能.结果 研究组的呼吸频率(20.19±3.51)次/min、心率(91.45±7.58)次/min、平均动脉压(83.41±3.22)mmHg优于参照组的(27.81±5.22)次/min、(106.94±8.69)次/min、(86.52±4.19)mmHg,差异有统计学意义(t=10.491、11.633、5.097,P均<0.05).研究组的血气指标、心功能及肾功能水平均优于参照组,差异有统计学意义(P均<0.05).结论 对比常规血液净化,连续性血液净化治疗重症心力衰竭合并肾衰竭患者的效果更好,患者生命体征平稳,血气指标改善,心肾功能提高.
Continuous Blood Purification for Patients with Severe Heart Failure Com-plicated with Renal Failure Effects of Cardiac and Renal Function Indexes
Objective To explore the effect of continuous blood purification on the improvement of cardiac and renal function in patients with severe heart failure and renal failure.Methods A total of 150 patients with severe heart fail-ure and renal failure admitted to 903rd Hospital of Joint Logistic Support Force of the People's Liberation Army from January 2018 to December 2023 were randomly selected as the research objects.They were divided into study group and reference group by different treatment methods,with 75 cases in each group.The reference group was treated with blood purification,and the study group was treated with continuous blood purification.The vital signs,blood gas in-dexes,cardiac function and renal function of the two groups were compared.Results The respiratory rate(20.19±3.51)times/min,heart rate(91.45±7.58)times/min and mean arterial pressure(83.41±3.22)mmHg in the study group were better than those in the reference group(27.81±5.22)times/min,(106.94±8.69)times/min,(86.52±4.19)mmHg,and the differences were statistically significant(t=10.491,11.633,5.097,all P<0.05).The blood gas index,cardiac func-tion and renal function of the study group were better than those of the reference group,the differences were statisti-cally significant(all P<0.05).Conclusion Compared with conventional blood purification,continuous blood purifica-tion is more effective in the treatment of patients with severe heart failure and renal failure.The patients'vital signs are stable,the blood gas index is improved,and the heart and kidney function are improved.

Continuous blood purificationSevere heart failureRenal failureBlood gas indicatorsCardial and renal function

吴倩、吴舒沁、辛海亮

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浙江中医药大学研究生院,浙江 杭州 310053

中国人民解放军联勤保障部队第九〇三医院重症医学科,浙江 杭州 310013

杭州明州脑康康复医院重症医学科,浙江 杭州 310000

连续性血液净化 重症心力衰竭 肾衰竭 血气指标 心肾功能

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(22)