摘要
目的 研究透析液再循环在连续性肾替代治疗 (CRRT)中的可行性。方法 将我院行连续性高通量透析 (CHFD)的 12 0例肾功能衰竭患者随机分成两组 ,其中 5 8例 2 0 0例次行透析液再循环 (A组 ) ,6 2例 2 5 0例次 (B组 )行传统CHFD即透析液不循环 ,观察比较疗效及不良反应发生情况。结果 A组透析后较透析前血尿素氮 (BUN)、肌酐 (Cr)平均下降分别为 (4 5 .2 3± 7.91) %和 (5 7.14± 10 .39) % ,高钾血症、酸中毒均能纠正 ,与B组相比差异无统计学意义 (P >0 .0 5 ) ;A组无 1例患者出现寒战、发热等致热源反应。结论 透析液再循环安全有效 ,透析液用量显著减少 。
Objective To evaluate the possibility of dialysate recycling in continuous renal replacement therapy(CRRT). Methods One hundred and twenty patients with kidney failure,who underwent continuous high flux dialysis(CHFD),were enrolled in this study.Fifty-eight patients performed dialysate recycling in 200 times of CHFD(group A),while sixty-two patients used fresh dialysate in 250 times of CHFD(group B).Effect and side effect of two groups were investigated and compared. Results In group A,serum urea nitrogen and creatinine were decreased by ( 45.23± 7.91)% and ( 57.14± 10.39)%, accompanied by well redressing of hyperkalemia and acidosis after CHFD.This effect had no significant difference with group B(P> 0.05).There was no pyretogenesis in group A. Conclusion Dialysate recycling in CRRT is effective, safe and economical.
出处
《临床荟萃》
CAS
北大核心
2004年第12期682-684,共3页
Clinical Focus
关键词
肾功能衰竭
肾替代疗法
透析液
设备安全性
kidney failure
renal replacement therapy
dialysis solutions
equipment safety
