首页|益气活血补肾方联合CRRT治疗感染性休克引起的急性肾功能衰竭的临床疗效

益气活血补肾方联合CRRT治疗感染性休克引起的急性肾功能衰竭的临床疗效

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目的:探讨益气活血补肾方联合连续肾脏替代疗法(CRRT)对因感染性休克而引起的急性肾功能衰竭的疗效.方法:选取 2023 年 5 月—2023 年 11 月江西省新余市中医院ICU收治的感染性休克引起的急性肾功能衰竭患者 50 例,按随机数字表法分成两组各 25 例.对照组接受CRRT治疗,观察组在对照组基础上加用益气活血补肾方治疗.比较两组患者治疗前与治疗后 7 d肾功能指标、二氧化碳结合力(CO2CP)、生命体征指标、急性生理与慢性健康Ⅱ(APACHE Ⅱ)评分、炎性指标检测结果的变化情况以及转归情况.结果:治疗后 7 d,观察组血清肌酐(Scr)、血尿素氮(BUN)、心率(HR)检测结果、APACHE Ⅱ评分及炎性指标均低于对照组(P<0.05),CO2CP和平均动脉压(MAP)检测结果高于对照组(P<0.05).观察组死亡率为4.00%(1/25),低于对照组的16.00%(4/25,P<0.05).结论:益气活血补肾方联合CRRT疗法应用于感染性休克引起的急性肾功能衰竭,能够有效改善患者的肾功能、血气分析状况、生命体征及炎症状态,降低死亡率.
Clinical efficacy of Yiqi Huoxue Bushen Formula combined with continuous renal replacement therapy in the treatment of acute renal failure caused by septic shock
Objective:To explore the effect of Yiqi Huoxue Bushen Formula combined with continuous renal replacement therapy(CRRT)in the treatment of acute renal failure caused by septic shock.Methods:Fifty patients with acute renal failure caused by septic shock admitted to the ICU of Xinyu Traditional Chinese Medicine Hospital,Jiangxi Province from May to November 2023 were divided into two groups with 25 cases each with random number table method.The control group received CRRT treatment,while the observation group was treated with Yiqi Huoxue Bushen Formula on the base of the control group.The changes in renal function indicators,carbon dioxide binding capacity(CO2CP),vital sign indicators,acute physiological and chronic health Ⅱ(APACHE Ⅱ)scores,inflammatory index test results and outcomes were compared between two groups of patients before and 7 days after treatment.Results:The serum creatinine(Scr),blood urea nitrogen(BUN)levels,heart rate(HR)test results,APACHE Ⅱ score and inflammatory index in the observation group were lower than those in the control group 7 days after treatment(P<0.05),and the CO2CP level and the mean arterial pressure(MAP)test results were higher than those in the control group(P<0.05).The mortality rate in the observation group was 4.00%(1/25),which was lower than that 16.00%(4/25)in the control group(P<0.05).Conclusion:Yiqi Huoxue Bushen Formula combined with CRRT therapy can effectively improve the renal function,blood gas analysis,vital signs,and inflammatory status of patients with acute renal failure caused by septic shock,and reduce the mortality.

septic shockacute renal failureYiqi Huoxue Bu Shen Formulacontinuous renal replacement therapymortality

何丽华、金连宁

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江西省新余市中医院重症医学科,新余 338000

江西省新余市中医院内二科,新余 338000

感染性休克 急性肾功能衰竭 益气活血补肾方 连续肾脏替代疗法 死亡率

江西省中医药管理局科技计划

2023B0791

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(16)
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