摘要
目的:探讨临床指标对急性肾损伤合并心肾综合征患者行连续性肾脏替代治疗(CRRT)的预测价值。方法:观察20例急性肾损伤合并心肾综合征患者临床指标对CRRT预测价值。结果:观察组经CRRT治疗后,血肌酐、尿素氮、脑钠肽(BNP)及第1个24 h尿量水平与保守治疗前后相比均有显著差异(F=14.737、15.986、12.035、13.987,P<0.05)。经相关因素分析,BNP与第1个24 h尿量为CRRT的影响因素。结论:BNP与第1个24 h尿量可以作为预测指标,对急性肾损伤合并心肾综合征患者行连续性肾脏替代治疗意义重大。
Objective:To explore the predictive value of clinical indicators for continuous renal replacement therapy(CRRT)in patients with acute kidney injury complicated with cardio renal syndrome.Methods:We observed the predictive value of clinical indicators for CRRT in patients with acute kidney injury complicated with cardio renal syndrome in 20 cases.Results:In the observation group,after CRRT treatment,the serum creatinine,urea nitrogen,BNP and the first 24 hours urine volume were statistically different from those before and after conservative treatment(F=14.737,15.986,12.035,13.987,P<0.05).After analysis of related factors,BNP and the first 24 hours urine volume were the influencing factors for CRRT.Conclusion:BNP and the first 24 hours urine volume can be used as the predictor,it had great significance for continuous renal replacement therapy in patients with acute kidney injury complicated with cardio renal syndrome.
作者
蔡纯青
王怀海
Cai Chunqing;Wang Huaihai(Nephrology Department,General Hospital of Kunming of Chengdu Military Region,Yunnan 650000;Hemodialysis Room,the People's Hospital of Dayao County,Chuxiong State,Yunnan 675400)
出处
《中国社区医师》
2018年第23期115-116,共2页
Chinese Community Doctors
关键词
连续性肾脏替代治疗
临床指标
预测价值
急性肾损伤合并心肾综合征
Continuous renal replacement therapy
Clinical indicators
Predictive value
Acute kidney injury complicated with cardio renal syndrome
