连续性肾脏替代治疗感染性急性肾损伤的疗效与预后分析

发布时间：2018-11-15 17:38

【摘要】：目的探讨连续性肾脏替代在治疗感染性急性肾损伤的疗效及预后,为临床治疗提供参考。方法选取2013-2014年医院收治的感染性急性肾损伤患者90例,将患者随机分为对照组和观察组,各45例,对照组采用常规治疗,观察组采用连续性肾脏替代治疗;对比两组患者术前与术后的生化指标、病原菌分布及APACHEⅡ评分,并对观察组患者的连续性肾脏替代治疗天数对肾损伤的疗效率进行分析;采用SPSS18.0软件进行统计分析。结果治疗前两组患者的经皮血氧饱和度(SpO2)、呼吸(R)、心率(P)、血清肌酐(Scr)差异无统计学意义,治疗后观察组患者的SpO2、R、P、Scr要明显低于对照组,差异有统计学意义(P0.05);观察组检出的白色假丝酵母菌、曲霉菌、新型隐球酵母菌、组织胞浆菌的数量均明显少于对照组;经APACHEⅡ比较分析发现,观察组患者处于低异常范围的患者远远高于对照组,差异有统计学意义(P0.05),且处于高异常范围的病死率与死亡危险系数也较高。结论连续性肾脏替代治疗感染性急性肾损伤的疗效及预后效果显著,利于肾功能恢复。
[Abstract]:Objective to evaluate the efficacy and prognosis of continuous renal replacement in the treatment of infectious acute renal injury. Methods 90 patients with infectious acute renal injury admitted from 2013-2014 were randomly divided into two groups: control group (n = 45) and observation group (n = 45). The control group was treated with routine therapy and the observation group was treated with continuous renal replacement therapy. The biochemical indexes, pathogen distribution and APACHE 鈪，

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