中国血液净化

›› 2003, Vol. 2 ›› Issue (11): 601-603.

• 论著 • 上一篇    下一篇

连续性肾脏替代治疗在尿毒症合并心力衰竭中的应用

姚 峥 贾 强   

  1. 100053 北京，首都医科大学宣武医院肾内科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2003-11-19 发布日期:2003-11-19

  • Received:1900-01-01 Revised:1900-01-01 Online:2003-11-19 Published:2003-11-19

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摘要： 目的 评价和比较连续性肾脏替代治疗 (CRRT）和间歇性血液透析(IHD)在控制尿毒症合并心 力衰竭时的疗效。方法 48例合并心力衰竭的尿毒症患者分两组，一组采用CRRT，20例；另一组采用IHD，28例。分别观察两组治疗前后心功能改善情况。结果 CRRT组心功能明显改善，且明显好于IHD组。结论 连续性肾脏替代治疗较间歇性血液透析能更好地控制尿毒症合并心力衰竭。

关键词: 连续性肾脏替代治疗, 尿毒症, 心力衰竭, 血液透析

Abstract: Objective To evaluate and compare the clinical effect of continuous renal replacement therapy (CRRT) and intermittent hemodialysis (IHD) on treating uremia patients accompanied by heart failure. Methods Fourty-eight patients suffered from uremia accompanied by heart failure were divided into two groups. Twenty cases in CRRT group received CRRT therapy. Tuenty-eight cases in IHD group received IHD therapy. Improvement of heart function of two groups after treatment was observed and evaluated. Results The heart function after CRRT was improved obviously and was better than that after IHD. Conclusion The clinical effect of CRRT was more obvious than IHD in improving the heart function of uremia patients accompanied by heart failure.

Key words: Uremia, Heart failure, Hemodialysis