首页|连续性肾脏替代治疗联合血液灌流对脓毒症患者疗效的影响

连续性肾脏替代治疗联合血液灌流对脓毒症患者疗效的影响

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目的 探讨连续性肾脏替代治疗联合血液灌流对脓毒症患者疗效的影响.方法 非随机选取枣庄市中医医院肾病科于2022年12月—2023年12月收治的78例脓毒症患者为研究对象,按照治疗方式不同,分为对照组和观察组,每组39例.对照组采用血液灌流治疗,观察组采用连续性肾脏替代治疗联合血液灌流治疗,对比两组患者的生命体征、生化指标、炎症指标的差异.结果 治疗后,观察组体温(37.07±0.76)℃、呼吸频率(21.11±4.65)次/min、心率(94.34±6.21)次/min低于对照组(37.89±0.34)℃、(25.40±3.43)次/min、(99.56±6.98)次/min,差异有统计学意义(t=6.151、4.637、3.489,P均<0.05);观察组血肌酐、血乳酸低、血小板计数高对照组,差异有统计学意义(P均<0.05);观察组C反应蛋白、降钙素原、白细胞计数低于对照组,差异有统计学意义(P均<0.05).结论 脓毒症患者运用连续性肾脏替代治疗联合血液灌流的效果突出,可以改善机体代谢,改善炎症与生化指标,应用价值高.
The Effect of Continuous Renal Replacement Therapy Combined with He-moperfusion on the Efficacy of Patients With Sepsis
Objective To investigate the effect of continuous renal replacement therapy combined with hemoperfusion in patients with sepsis.Methods A total of seventy eight patients with sepsis admitted to the Department of Nephrol-ogy,Zaozhuang Hospital of Traditional Chinese Medicine from December 2022 to December 2023 were non-randomly selected as the research objects.According to different treatment methods,they were divided into control group and observation group,with thirty nine cases in each group.The control group was treated with hemoperfusion,and the ob-servation group was treated with continuous renal replacement therapy combined with hemoperfusion.The differences of vital signs,biochemical indexes and inflammatory indexes between the two groups were compared.Results After treatment,the body temperature(37.07±0.76)℃,respiratory rate(21.11±4.65)times/min,heart rate(94.34±6.21)times/min in the observation group were lower than those in the control group(37.89±0.34)℃,(25.40±3.43)times/min,(99.56±6.98)times/min,the differences were statistically significant(t=6.1505,4.6365,3.4892,all P<0.05).Serum creatinine,blood lactic acid and platelet count in observation group were lower than those in control group,the differ-ences were statistically significant(all P<0.05).The C-reactive protein,procalcitonin and white blood cell counts in observation group were lower than those in control group,and the differences were statistically significant(all P<0.05).Conclusion The effect of continuous renal replacement therapy combined with hemoperfusion in patients with sepsis is outstanding,which can improve the metabolism of the body,improve inflammation and biochemical indicators,and has high application value.

Continuous renal replacementHemoperfusionSepsisInflammation indicatorsBiochemical indicators

肖荣、王利秀、李星

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枣庄市中医医院肾病科,山东 枣庄 277000

连续性肾脏替代 血液灌流 脓毒症 炎症指标 生化指标

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(16)