摘要
目的探讨应用连续血液净化对老年危急重症患者急性肾损伤进行治疗的临床效果。方法选取2015年1月—2016年1月期间收治的100例老年危急重症患者进行研究,随机分为观察组和对照组每组50例患者。观察组患者应用连续血液净化进行治疗,对照组患者应用常规方法进行治疗。对比两组患者的临床效果和各项指标。结果观察组治疗后治疗后72 h系统症状评分为(13.72±3.21)分,显著低于对照组(24.55±3.87)分,差异有统计学意义(P<0.05);观察组患者BUN、Na^+、Ca^(2+)等各项血液指标均显著优于对照组,差异有统计学意义(P<0.05);观察组治疗48 h后LD、APACHE II评分分别为(1.52±0.83)mmol/L、(17.78±5.39)分,均显著优于对照组,差异有统计学意义(P<0.05)。结论应用连续血液净化方式治疗老年危急重症患者急性肾损伤临床确切,能够减轻患者肾损伤。
Objective To investigate the application of continuous blood purification treatment of the clinical effect of elderly critical patients with acute kidney injury. Methods From January 2015 to January 2016, 100 cases of elderly patients with critical and severe diseases were studied and randomly divided into two groups with 50 cases in each. The patients in the observation group were treated with continuous blood purification, and the patients in the control group were treated with conventional methods. The clinical effects and various indexes of the two groups were compared. Results The systemic symptom score of the observation group was（13.72±3.21）marks at 72 hours after treatment, which was significantly lower than that of the control group（24.55±3.87）points（P〈 0.05）. Various blood indexes such as BUN,Na＋,Ca（2＋） of the observation group were significantly better than those of the control group（P〈 0.05）. After 48 hours of treatment, the scores of LD and APACHE II in the observation group were（1.52±0.83）mmol/L,（17.78±5.39）points, respectively, which were significantly better than those in the control group（P〈 0.05）. Conclusion the application effect of continuous blood purification is effective in the treatment of acute renal injury in elderly patients. It can alleviate the kidney damage in patients.
作者
戴芳
DAI Fang(Diagnosis and Treatment Center of Nephrosis,PLA Army No.252 Hospital,Baoding,Hebei Province,071000 China)
出处
《系统医学》
2018年第6期48-50,共3页
Systems Medicine
关键词
连续血液净化
老年危急重症
急性肾损伤
Continuous blood purification
Critical old age
Acute renal injury
