摘要
目的探究多器官功能不全伴急性肾损伤患者行血液净化治疗的预后价值。方法选取河南省开封市中心医院血液净化中心2017年11月-2018年12月收治的多器官功能不全伴急性肾损伤的50例患者作为研究对象。观察患者治疗前后血清肌酐(Scr)、血尿素氮(BUN)、收缩压(SBP)、舒张压(DBP)的变化情况,记录患者治疗2周后存活及死亡人数。采用SOFA评分法对患者器官衰竭程度进行评估,得分越高表示患者器官衰竭越严重。结果患者接受治疗后Scr、BUN、SBP、DBP水平均优于治疗前,患者治疗后SOFA得分低于治疗前,治疗前后差异具有统计学意义(P<0.05)。本研究中患者存活29例(58.00%),死亡17例(34.00%),放弃治疗4例(8.00%),存活率与死亡率差异具有统计学意义(P<0.05)。结论多器官功能不全伴急性肾损伤患者行血液净化治疗的预后价值突出,能够有效改善患者器官衰竭症状,提升患者生存几率。
Objective To explore the prognostic value of blood purification in patients with multiple organ dysfunction and acute renal injury.Methods 50 patients with multiple organ dysfunction and acute renal injury from November,2017 to December,2018 were selected as the study objects.The changes of serum creatinine(Scr),blood urea nitrogen(BUN),systolic blood pressure(SBP)and diastolic blood pressure(DBP)were observed before and after treatment,and the number of survival and death of the patients were recorded.The higher the score,the more serious the organ failure was.Results After treatment,the levels of SCR,bun,SBP and DBP were superior to those before treatment,and the score of SOFA was lower than that before treatment,with statistically significant difference(P<0.05).In the study,29 patients survived(58.00%),17 patients died(34.00%),and 4 patients gave up treatment(8.00%).The difference between survival rate and mortality was statistically significant(P<0.05).Conclusion The prognosis value of blood purification treatment in patients with multiple organ dysfunction and acute renal injury is outstanding,which can effectively improve the symptoms of organ failure and improve the survival rate of patients.
作者
牛瑞华
NIU Rui-hua(Blood Purification Center,Kaifeng Central Hospital,Kaifeng,Henan,475000,China)
出处
《黑龙江医学》
2020年第6期743-745,共3页
Heilongjiang Medical Journal
关键词
急性肾损伤
多器官功能不全
血液净化治疗
Acute renal injury
Multiple organ dysfunction
Blood purification treatment
