期刊论文

中文

中国实用医药

1673-7555

2010

5

9

32-34

10.14163/j.cnki.11-5547/r.2010.09.150

本校为第一机构

目的 比较不同血液净化方式治疗尿毒症脑病的疗效.方法 回顾性分析我院2008年3月至2009年6月维持性透析合并尿毒症脑病的患者36例,其中20例行血液灌流串联连续性静脉-静脉血液滤过(HP+CVVH),16例行单纯连续性静脉-静脉血液滤过(CVVH),比较两组治疗前后心率、平均动脉压、APACHEⅡ评分、钾离子、碳酸氢根、尿素氮、血肌酐变化以及神经精神症状缓解情况和到达缓解所需时间.结果 两组患者治疗前后APACHEⅡ评分无统计学差异;治疗前后心率、平均动脉压、钾离子、碳酸氢根、尿素氮、血肌酐均无统计学差异(P>0.05),但HP+CVVH组神经精神症状缓解有效率为90%,而CVVH组仅9例为56.22%,两组P

Objective To compare the efficacy of different modes of blood purification on patients with uremic encephalopathy（UE）.Methods 36 cases of UE with sustaining hemodialysis between March 2008 and June 2009 was retrospectively analyzed,20 of which received hemoperfusion online continuous venovenous hemofiltration（HP＋CVVH）and 16 only underwent continuous venovenous hemofiltration（CVVH）.Heart rates（HR）,mean artery pressure（MAP）,APACHEII score,kalium ion,hydrocarbonic radical,blood urea nitrogen（BUN）and serum crea（Scr）were detected befo...