首页|血液净化对儿童多脏器功能损害的疗效评价及对内环境的影响

血液净化对儿童多脏器功能损害的疗效评价及对内环境的影响

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目的:探讨血液净化对儿童多脏器功能损害的临床疗效及对内环境的影响.方法:回顾性分析 2020 年 4 月—2023 年 3 月在阜阳市人民医院儿童重症监护病房(PICU)住院期间进行血液净化治疗的 17 例多脏器功能损害患儿的临床资料.收集患儿血液净化治疗前后各项炎症指标、肝肾功能、心功能、凝血功能、血气及电解质等一般资料进行统计学分析.结果:14 例进行连续性静-静脉血液透析加滤过(CVVHDF)方式治疗,2 例进行连续性静-静脉血液透析(CVVHD)方式治疗,1 例进行血液灌流(HP)方式治疗;治疗后血白细胞、肝肾功能、心功能较治疗前明显好转,差异均有统计学意义(P<0.05),治疗前后凝血功能及内环境差异均无统计学意义(P>0.05).结论:血液净化治疗能够有效地降低炎症指标,改善脏器功能,对内环境的影响较小,对有多脏器功能损害的儿童应积极进行血液净化治疗.
Evaluation of the Effect of Blood Purification on Multiple Organ Dysfunction in Children and Its Influence on Internal Environment
Objective:To investigate the clinical effect of blood purification on multiple organ dysfunction in children and its influence on internal environment.Method:The clinical data of 17 children with multiple organ dysfunction who received blood purification treatment in PICU of Fuyang People's Hospital from April 2020 to March 2023 was retrospectively analyzed.General data of inflammation indexes,liver and kidney function,heart function,coagulation function,blood gas and electrolytes before and after blood purification treatment were collected for statistical analysis.Result:A total of 14 patients received continuous continuous veno-venous hemodiafiltration(CVVHDF)treatment,two patients received continuous continuous veno-venous hemodialysis(CVVHD)treatment,and one patient received hemoperfusion(HP)treatment.After treatment,white blood cell,liver and kidney function and heart function were significantly improved compared with those before treatment,the differences were statistically significant(P<0.05).But the coagulation function and internal environment were not statistically significant(P>0.05).Conclusion:Blood purification therapy can effectively reduce inflammatory indicators and improve organ function,meanwhile has little effect on internal environment.Children with multiple organ dysfunction should be actively treated with blood purification therapy.

Blood purificationMultiple organ dysfunctionChildrenInternal environment

赵永、李桂涛、戴红臣、宋金涛、张旭、李婷婷

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阜阳市人民医院儿科 安徽 阜阳 236000

血液净化 多脏器功能损害 儿童 内环境

阜阳市卫生健康委科研立项项目(2019)

FY2019-050

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(6)
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