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高容量连续性血液净化治疗对脓毒血症致早期急性肾损伤的效果分析

张婷婷 杨自力 苏伟 杨智

中国当代医药Issue(10):72-74,3.
中国当代医药Issue(10):72-74,3.

高容量连续性血液净化治疗对脓毒血症致早期急性肾损伤的效果分析

Effect analysis of high volume continuous blood purification therapy on early sepsis with acute kidney injury

张婷婷 1杨自力 1苏伟 1杨智1

作者信息

  • 1. 广州市第一人民医院重症医学科,广州 510180
  • 折叠

摘要

Abstract

Objective To investigate the effect of high volume continuous blood purification therapy on early sepsis with acute kidney injury. Methods 104 patients with early sepsis secondary to acute kidney injury were selected in our hospital from January 2013 to January 2014,they were randomly divided into observation group and control group,and there were 52 cases in each group.On the basis of conventional therapy,the ultrafiltration rate of observation group was set at 70 ml/(kg·h),the control group was set at 35 ml/(kg·h),the clinical outcome between two groups was compared. Results APACHEII score,blood urea nitrogen,serum creatinine,procalcitonin,interleukin-6,tumor necrosis factor and C-reactive protein level in observation group was lower than that in control group respectively after treatment,renal function recovery time and ICU length of stay in observation group was shorter than that in control group respectively, with statistical difference (P<0.05). Conclusion High volume continuous blood purification can more effectively treat sepsis-induced acute renal injury in early,which filtering effect is stronger,can improve clinical outcomes for sepsis.

关键词

高容量连续性血液净化/脓毒血症/早期急性肾损伤

Key words

High volume continuous blood purification/Sepsis/Early acute kidney injury

分类

医药卫生

引用本文复制引用

张婷婷,杨自力,苏伟,杨智..高容量连续性血液净化治疗对脓毒血症致早期急性肾损伤的效果分析[J].中国当代医药,2015,(10):72-74,3.

中国当代医药

1674-4721

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