腎衰竭患者應用連續性血液透析和間歇性血液透析治療的臨床效果
來源:用戶上傳
作者:
【摘要】 目的 研究腎衰竭患者應用連續性血液透析和間歇性血液透析治療的臨床效果。
方法 100例接受血液透析治療的腎衰竭患者， 隨機分為對照組和觀察組， 每組50例。對照組患者接受間歇性血液透析治療， 觀察組患者接受連續性血液透析治療， 觀察并對比兩組患者治療后臨床指標[血尿素氮（BUN）、血清肌酐（Scr）、心率（HR）]水平、生活質量評分情況（日?；顒釉u分、社會活動評分、生理功能評分、疼痛感知評分）、低血壓和心律失常發生次數。結果 治療后， 兩組患者的BUN、Scr、HR均低于治療前， 且觀察組低于對照組， 差異具有統計學意義（P<0.05）;觀察組患者的日?；顒釉u分、社會活動評分、生理功能評分分別為（80.66±8.02）、（82.69±8.24）、（81.19±8.13）分， 均高于對照組患者的（68.94±6.82）、（67.62±6.69）、（69.18±6.82）分， 疼痛感知評分為（61.75±6.16）分低于對照組的（80.59±8.04）分， 差異具有統計學意義（P<0.05）;觀察組患者的低血壓發生次數、心律失常發生次數均少于對照組， 差異具有統計學意義（P<0.05）。結論 腎衰竭患者接受連續性血液透析治療， 可以有效改善患者的臨床癥狀， 提升患者的生活質量， 并減少患者低血壓和心律失常的發生次數， 值得推廣應用。
【關鍵詞】 腎衰竭;血液透析;連續性;間歇性
DOI：10.14163/j.cnki.11-5547/r.2019.17.009
Clinical effect of continuous hemodialysis and intermittent hemodialysis in the treatment of patients with renal failure CHEN Ying， YUAN Hong-ying. Weifang Fangzi District People’s Hospital， Weifang 261200， China
【Abstract】 Objective To study the clinical effect of continuous hemodialysis and intermittent hemodialysis in the treatment of patients with renal failure. Methods A total of 100 patients with renal failure undergoing hemodialysis were randomly divided into control group and observation group， with 50 cases in each group. The control group was treated with intermittent hemodialysis， and the observation group was treated with continuous hemodialysis. Observation and comparison were made on clinical indexes [blood urea nitrogen （BUN）， serum creatinine （Scr）， heart rate （HR）] level， quality of life scores （daily activity score， social activity score， physiological function score， pain perception score）， frequency of hypotension and arrhythmia after treatment in two groups. Results After treatment， both groups had lower BUN， Scr and HR than those before treatment， and the observation group was lower than the control group. Their difference was statistically significant （P<0.05）. The observation group had higher daily activity score， social activity score and physiological function score respectively as （80.66±8.02）， （82.69±8.24） and （81.19±8.13） points than （68.94±6.82）， （67.62±6.69） and （69.18±
6.82） points in the control group， and lower pain perception score as （61.75±6.16） points than （80.59±
8.04） points in the control group. Their difference was statistically significant （P<0.05）. The observation group had less frequency of hypotension and arrhythmia than the control group， and the difference was statistically significant （P<0.05）. Conclusion Continuous hemodialysis can effectively improve the clinical symptoms of patients with renal failure， improve their quality of life， and reduce the frequency of hypotension and arrhythmia. It is worthy of promotion and application.
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