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目的研究床旁连续血液滤过(CRRT)在慢性肾衰竭(CRF)并浆膜腔积液治疗中的应用价值。方法选择2012年1月—2013年6月于永州市中心医院肾内科住院治疗的CRF并浆膜腔积液患者60例,随机分为对照组与观察组,每组30例。观察组患者在内科综合治疗基础上给予CRRT和血液透析(HD)治疗;对照组仅给予HD治疗。比较两组临床疗效和并发症发生情况。结果观察组总有效率为86.7%,高于对照组的36.7%;并发症发生率为3.3%,低于对照组的10.6%;两组总有效率、并发症发生率比较,差异有统计学意义(P<0.01)。结论CRRT间歇用于CRF并浆膜腔积液的治疗中,有更好的临床疗效,且透析相关并发症少。
Objective To study the value of bedside continuous hemofiltration (CRRT) in the treatment of chronic renal failure (CRF) and serous effusions. Methods Sixty patients with CRF and serous effusions admitted to Department of Nephrology, Yongzhou Central Hospital from January 2012 to June 2013 were randomly divided into control group and observation group, with 30 cases in each group. Patients in the observation group were given CRRT and hemodialysis (HD) on the basis of comprehensive medical treatment. The control group was treated with HD alone. The clinical efficacy and complications of the two groups were compared. Results The total effective rate was 86.7% in the observation group, which was 36.7% higher than that in the control group. The incidence of complications was 3.3%, which was lower than 10.6% of the control group. The total effective rate and complication rate were statistically significant Significance (P <0.01). Conclusion CRRT intermittent for the treatment of CRF and serosal effusion, a better clinical efficacy, and dialysis-related complications less.