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目的:研究血液灌流联合血液透析治疗急性肾衰竭的临床效果。方法:将自2013年12月-2015年11月在笔者所在医院接受治疗的55例急性肾衰竭患者为研究对象,将患者随机分组并采用不同的血液净化方式进行治疗,并在治疗结束后对两组患者的评价指标内容进行统计比较分析。结果:采用血液灌流联合血液透析治疗的观察组的肾功能(BUN、Scr)、血浆代谢性指标(HCO3-)、电解质生化指标(Na+、K+、Cl-、Ca2+、P3+)、生活质量(躯体功能、心理功能、生活功能)均优于采用血液灌流治疗的对照组患者,差异有统计学意义(P<0.05)。结论:采用血液灌流联合血液透析可以有效改善急性肾衰竭患者的肾功能指标及血浆代谢值,有效改善患者的电解质紊乱情况,提高患者的生存质量,具有极高的治疗价值,适合推广应用。
Objective: To study the clinical effect of hemoperfusion combined with hemodialysis in the treatment of acute renal failure. Methods: From December 2013 to November 2015, 55 patients with acute renal failure who were treated in the author’s hospital were enrolled. Patients were randomly divided into groups and treated with different blood purification methods. After treatment, The two groups of patients evaluation indicators were statistically analyzed. Results: BUN, Scr, HCO3-, electrolyte biochemical indexes (Na +, K +, Cl-, Ca2 +, P3 +) and quality of life in the observation group treated with hemoperfusion combined with hemodialysis Function, psychological function, life function) were better than those in the control group treated with hemoperfusion, the difference was statistically significant (P <0.05). Conclusion: Hemoperfusion combined with hemodialysis can effectively improve renal function indexes and plasma metabolism in patients with acute renal failure, effectively improve electrolyte imbalance and improve patients’ quality of life. It is of great therapeutic value and is suitable for popularization and application.