HUANG Lei, YU Nana, ZHU Xuezhuan. Clinical effect observation of continuous renalreplacement therapy in the treatment of patients with severe acute renal failure[J]. Journal of Clinical Medicine in Practice, 2019, 23(13): 6-9. DOI: 10.7619/jcmp.201913002
Citation: HUANG Lei, YU Nana, ZHU Xuezhuan. Clinical effect observation of continuous renalreplacement therapy in the treatment of patients with severe acute renal failure[J]. Journal of Clinical Medicine in Practice, 2019, 23(13): 6-9. DOI: 10.7619/jcmp.201913002

Clinical effect observation of continuous renalreplacement therapy in the treatment of patients with severe acute renal failure

More Information
  • Received Date: May 12, 2019
  • Accepted Date: June 19, 2019
  • Available Online: February 23, 2021
  • Published Date: July 14, 2019
  •   Objective  To investigate the clinical effect of continuous renal replacement therapy on the treatment of patients with severe acute renal failure.
      Methods  Totally 70 patients with severe acute renal failure were divided into control group and treatment group, with 35 cases in each group. The control group was treated with intermittent hemodialysis, while the treatment group was treated with continuous renal replacement therapy. The clinical efficacy, improvement of renal function before and after treatment, complications, 1-year survival rate and mortality after surgery were compared between the two groups.
      Results  The total effective rate was 94.29% in the treatment group, which was significantly higher than 57.14% in the control group (P < 0.05). The incidence rate of complications in the control group was 40.00%, which was significantly higher than 5.71% in the treatment group (P < 0.05). After treatment, blood urea nitrogen (BUN) and serum creatinine (Scr) in the treatment group were significantly higher than those in the control group, and endogenous creatinine clearance (Ccr) was significantly lower than that in the control group (P < 0.05). After one year of treatment, the survival rate and mortality of the treatment group were significantly better than those of the control group (P < 0.05).
      Conclusion  Continuous renal replacement therapy can significantly improve the clinical efficacy and survival rate of patients with severe acute renal failure, improve renal function, and reduce the incidence rate of complications and mortality.
  • [1]
    于长青, 林洪丽, 王可平, 等. 连续性肾脏替代治疗与间歇性血液透析治疗重症急性肾衰竭的比较[J]. 中国血液净化, 2019, 4(3): 40-43. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJH200403011.htm
    [2]
    张丽春. 比较连续性肾脏替代治疗(CRRT)与间歇性血液透析治疗(IHD)对重症急性肾衰竭的治疗效果[J]. 临床医药文献电子杂志, 2019, 6(9): 21-22. doi: 10.3877/j.issn.2095-8242.2019.09.014
    [3]
    潘峰, 蔡庆莉, 李金喜, 等. 连续性肾脏替代疗法与间歇性血液透析治疗重症急性肾衰竭的临床效果对比分析[J]. 中西医结合心血管病电子杂志, 2018, 6(24): 46-47. doi: 10.3969/j.issn.2095-6681.2018.24.032
    [4]
    范孟静. 连续性肾脏替代疗法与间歇性血液透析疗法对于治疗重症急性肾衰竭的临床疗效[J]. 智慧健康, 2018, 4(12): 112-114. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHJK201812053.htm
    [5]
    谢宏杰, 陈松. 连续性肾脏替代治疗与间歇性血液透析治疗重症急性肾衰竭的效果评价[J]. 中外医学研究, 2018, 16(9): 15-16. https://www.cnki.com.cn/Article/CJFDTOTAL-YJZY201809007.htm
    [6]
    谭立清. 腹膜透析与连续性肾脏替代疗法治疗脑出血并急性肾衰竭的疗效比较[J]. 广西医学, 2018, 25(9): 1373-1374. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYX200609029.htm
    [7]
    李向英. 连续性肾脏替代治疗与间歇性血液透析对重症急性肾衰竭的疗效比较[J]. 中国医药指南, 2017, 15(36): 165-166. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201736135.htm
    [8]
    张海霞, 刘冰. 连续性肾脏替代治疗与间歇性血液透析治疗重症急性肾衰竭的效果分析[J]. 中国实用医药, 2017, 12(26): 61-63. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201726033.htm
    [9]
    王星利. 连续性肾脏替代治疗对重症急性肾衰竭患者疗效及肾功能的影响[J]. 中医临床研究, 2017, 9(13): 132-133. doi: 10.3969/j.issn.1674-7860.2017.13.067
    [10]
    安凌春, 高杨, 黄春泉. 连续性肾脏替代治疗与间歇性血液透析治疗重症急性肾衰竭的效果研究[J]. 中国当代医药, 2017, 24(13): 60-62. doi: 10.3969/j.issn.1674-4721.2017.13.019
    [11]
    周俊. 连续性肾脏替代治疗与间歇性血液透析对重症急性肾衰竭的临床效果[J]. 临床医学, 2017, 37(4): 58-59. https://www.cnki.com.cn/Article/CJFDTOTAL-EBED201704025.htm
    [12]
    刘强, 许琳. 连续性肾脏替代疗法与间歇性血液透析治疗重症急性肾衰竭的临床效果对比[J]. 华西医学, 2017, 32(3): 392-394. https://www.cnki.com.cn/Article/CJFDTOTAL-HXYX201703019.htm
    [13]
    王芳, 马志芳. 连续性肾脏替代疗法治疗急性肾衰竭患者临床疗效的评价[J]. 中国妇幼健康研究, 2017, 27(S1): 29-30. https://www.cnki.com.cn/Article/CJFDTOTAL-SANE2016S1031.htm
    [14]
    董娟, 张晓琴. 连续性肾脏替代治疗与间歇性血液透析治疗急性肾衰竭的效果对比[J]. 临床医学研究与实践, 2019, 1(2): 36-38. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS201602023.htm
    [15]
    易亮. 连续性肾脏替代治疗与间隙性血液透析治疗重症急性肾衰竭疗效对比[J]. 吉林医学, 2018, 36(6): 1051-1052.
  • Related Articles

    [1]SHI Qianqian, LIU Jingjing. Risk factor and construction of nomogram prediction model for pertussis in children[J]. Journal of Clinical Medicine in Practice, 2025, 29(6): 56-61. DOI: 10.7619/jcmp.20244333
    [2]PANG Ting, WU Weili, YANG Binjiao. Pathogen status, risk factors and prediction model construction for catheter-related infection in patients with maintenance hemodialysis[J]. Journal of Clinical Medicine in Practice, 2024, 28(21): 60-65. DOI: 10.7619/jcmp.20243000
    [3]LI Juanjuan, LIN Yan, WANG Weiping. Value of three-dimensional energy Doppler ultrasound parameters combined with placental growth factor in predicting early-onset fetal growth restriction[J]. Journal of Clinical Medicine in Practice, 2024, 28(10): 13-16, 23. DOI: 10.7619/jcmp.20234096
    [4]LIU Haijia, CHEN Ming, LI Yanzhen. Analysis in risk factors of postoperative recurrence of patients with refractory epilepsy and establishment of a risk prediction model[J]. Journal of Clinical Medicine in Practice, 2024, 28(8): 7-11. DOI: 10.7619/jcmp.20240080
    [5]LIU Chen, YE Jianwen, WANG Xuemei, LI Hua. Predictive value of serum microRNA-506 and microRNA-934 levels in postoperative survival outcome of patients with pancreatic cancer[J]. Journal of Clinical Medicine in Practice, 2024, 28(5): 40-43. DOI: 10.7619/jcmp.20233000
    [6]DING Tianjia, SUN Tao, WU Mingfeng, YIN Haibing. Risk factors of electrocardiogram abnormalities in patients with primary liver cancer and its value in predicting prognosis[J]. Journal of Clinical Medicine in Practice, 2024, 28(3): 100-104. DOI: 10.7619/jcmp.20233012
    [7]YOU Danye, SHI Jiaping. Comparison of predictive value of cervical length measured by two transvaginal ultrasonography methods for preterm birth in early stage of second trimester[J]. Journal of Clinical Medicine in Practice, 2023, 27(18): 138-141. DOI: 10.7619/jcmp.20231486
    [8]ZHOU Lanmei, JIANG Lijun, ZHU Fengxia, ZHAO Xuemei, JIN Yanting. Analysis in risk factors of respiratory tract infectionin preschool children and construction of nomogram prediction model[J]. Journal of Clinical Medicine in Practice, 2021, 25(14): 9-14. DOI: 10.7619/jcmp.20211520
    [9]CAO Dalong, WANG Changhai. Value of red cell distribution width in predicting the severity and prognosis of community acquired pneumonia[J]. Journal of Clinical Medicine in Practice, 2021, 25(1): 85-87. DOI: 10.7619/jcmp.20200415
    [10]CAO Lan, TAO Yujian, ZHAO Yuanlu, ZHANG Pan. Analysis in risk factors of solitary pulmonary nodules[J]. Journal of Clinical Medicine in Practice, 2021, 25(1): 38-40, 44. DOI: 10.7619/jcmp.20200457
  • Cited by

    Periodical cited type(7)

    1. 赵晓亮,孙梅兰,闫天元,张世喆,牛国昌,关玉龙,李华. 拇外翻畸形截骨矫形后第一跖骨三维层面畸形指标的量化分析. 中国组织工程研究. 2024(33): 5302-5307 .
    2. 张耀天,崔军,居嘉忆,梁峻箫,孙微. 3D打印辅助第3代微创Chevron截骨术治疗轻中度■外翻的临床疗效. 中国临床医生杂志. 2024(03): 333-335 .
    3. 马昌志,田文平,高晗,由夫超,何雪峰,王巍. 应用抗生素骨水泥植入技术治疗第一跖趾关节痛风石并骨缺损的短期疗效研究. 骨科. 2024(02): 133-139 .
    4. 曹旭含,熊冰朗,孙承颐,孙旭东,郭紫嫣,温建民,孙卫东. 步态周期中“8”字绷带外固定对微创治疗拇外翻术后截骨端动态稳定性的有限元分析. 中国医疗设备. 2024(08): 11-19 .
    5. 温冠楠,程桯,蒋科卫,豆以彪,奚向宇,白志强,温建民. 温建民微创(足母)外翻病症诊疗体系学术思想及运用. 广州中医药大学学报. 2024(10): 2568-2575 .
    6. 邰耀,成永忠,陈奕历,李润民,陈雨欣,程大鹏,王文,温建民,蒋科卫. 拇外翻微创截骨术后“8”字绷带固定对截骨端背侧移位影响的尸体研究. 中医药导报. 2023(08): 71-75 .
    7. 李帅,郝光亮. 桃红接骨胶囊联合微创截骨手法整复术治疗拇外翻临床观察. 亚太传统医药. 2023(12): 107-110 .

    Other cited types(0)

Catalog

    Article views (326) PDF downloads (6) Cited by(7)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return