【摘要】：目的探討連續(xù)性腎臟替代在治療感染性急性腎損傷的療效及預(yù)后,為臨床治療提供參考。方法選取2013-2014年醫(yī)院收治的感染性急性腎損傷患者90例,將患者隨機(jī)分為對(duì)照組和觀察組,各45例,對(duì)照組采用常規(guī)治療,觀察組采用連續(xù)性腎臟替代治療;對(duì)比兩組患者術(shù)前與術(shù)后的生化指標(biāo)、病原菌分布及APACHEⅡ評(píng)分,并對(duì)觀察組患者的連續(xù)性腎臟替代治療天數(shù)對(duì)腎損傷的療效率進(jìn)行分析;采用SPSS18.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果治療前兩組患者的經(jīng)皮血氧飽和度(SpO2)、呼吸(R)、心率(P)、血清肌酐(Scr)差異無(wú)統(tǒng)計(jì)學(xué)意義,治療后觀察組患者的SpO2、R、P、Scr要明顯低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組檢出的白色假絲酵母菌、曲霉菌、新型隱球酵母菌、組織胞漿菌的數(shù)量均明顯少于對(duì)照組;經(jīng)APACHEⅡ比較分析發(fā)現(xiàn),觀察組患者處于低異常范圍的患者遠(yuǎn)遠(yuǎn)高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05),且處于高異常范圍的病死率與死亡危險(xiǎn)系數(shù)也較高。結(jié)論連續(xù)性腎臟替代治療感染性急性腎損傷的療效及預(yù)后效果顯著,利于腎功能恢復(fù)。
[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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