摘要
目的探讨连续性肾替代疗法(CRRT)治疗老年慢性肾功能不全合并多器官功能障碍的效果。方法选取2012年6月至2015年6月接受CRRT治疗的年龄>65岁的老年慢性肾功能不全合并多脏器功能障碍患者60例。观察CRRT治疗前后心率、中心静脉压、平均动脉压、肌酐、尿素、乳酸、血清钾、碳酸氢盐、超敏C反应蛋白、氧合指数、p H值、急性生理与慢性健康Ⅱ(APACHEⅡ)评分等指标变化。结果 CRRT治疗后,患者的心率、中心静脉压、平均动脉压、肌酐、尿素、乳酸、血清钾、碳酸氢盐、超敏C反应蛋白、氧合指数、p H值、APACHEⅡ评分均较治疗前明显改善(P<0.05)。结论 CRRT是一种治疗老年慢性肾功能不全合并多脏器功能障碍的有效手段,可明显改善患者预后。
Objective To investigate the curative effect of continuous renal replacement therapy（CRRT） treated senile chronic renal combined with multiple organ dysfunction. Methods A retrospective study was performed on 60 cases of senile chronic renal combined multiple organ dysfunction whose age was more than 65 years old received CRRT treatment from June 2012 to June 2015. The hemodynamics such as heart rate（HR）,central venous pressure（CVP）,mean arterial pressure（MAP）,serum creatinine,blood urea,lactic acid,serum potassium,bicarbonate,hypersensitive c-reactive protein（hs-CRP）,oxygenation index,PH value and APACHE Ⅱscore changes were observed before and after the treatment. Results After the CRRT treatment,the hemodynamics such as HR,CVP,MAP,serum creatinine,blood urea,lactic acid,serum potassium,bicarbonate,hs-CRP,oxygenation index,PH value and APACHE Ⅱscore were significantly improved compared than those before the treatment（ P〈0. 05）. Conclusion The CRRT treatment in patients with senile chronic renal insufficiency combined with multiple organ dysfunction is effective,and may obviously improve the prognosis of patients.
出处
《临床军医杂志》
CAS
2017年第2期184-186,共3页
Clinical Journal of Medical Officers
关键词
连续性肾替代疗法
老年
慢性肾功能不全
多脏器功能障碍
Continuous renal replacement therapy
Elderly
Chronic renal insufficiency
Merge multiple organ dysfunction
