摘要
目的探讨连续性血液净化治疗糖尿病肾病患者的临床疗效。方法64例糖尿病肾病患者,随机分为观察组与对照组,每组32例。观察组行连续性血液净化治疗,对照组行间断性血液净化治疗。比较两组患者的治疗效果、满意度和并发症发生率。结果观察组患者16例显效,14例有效,2例无效;对照组患者11例显效,12例有效,9例无效。观察组患者的治疗总有效率为93.75%,高于对照组的71.88%,差异具有统计学意义(P<0.05)。观察组发生低血糖2例,低血压1例,并发症发生率为9.38%;对照组发生低血糖5例,低血压3例,代谢紊乱2例,并发症发生率为31.25%。观察组并发症发生率低于对照组,差异具有统计学意义(P<0.05)。观察组患者非常满意20例,基本满意10例,不满意2例,总满意率为93.75%;对照组患者非常满意14例,基本满意9例,不满意9例,总满意率为71.88%;观察组患者的总满意率高于对照组,差异具有统计学意义(P<0.05)。结论与间歇性血液净化治疗相比较,连续性血液净化治疗糖尿病肾病的效果更加理想,安全性更高,且能够提高患者的满意度,值得在临床上进行广泛应用和推广。
Objective To explore the clinical efficacy of continuous blood purification in the treatment of diabetic nephropathy patients.Methods 64 diabetic nephropathy patients were randomly divided into an observation group and a control group,each consisting of 32 cases.The observation group received continuous blood purification,and the control group received intermittent blood purification.The therapeutic effect,satisfaction and complication rate of the two groups were compared.Results In the observation group,16 cases were obviously effective,14 cases were effective and 2 cases were ineffective;in the control group,11 cases were obviously effective,12 cases were effective,and 9 cases were ineffective.The total effective rate of the observation group was 93.75%,which was higher than 71.88%of the control group,and the difference was statistically significant(P<0.05).The observation group had 2 cases of hypoglycemia and 1 case of hypotension occurred,with a complication rate of 9.38%;the control group had 5 cases of hypoglycemia,3 cases of hypotension,2 cases of metabolic disorders occurred,with a complication rate of 31.25%.The complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).In the observation group,20 cases were very satisfied,10 cases were basically satisfied and 2 cases were dissatisfied,and the total satisfaction rate was 93.75%;in the control group,14 cases were very satisfied,9 cases were basically satisfied,9 cases were dissatisfied,and the total satisfaction rate was 71.88%.The total satisfaction rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with intermittent blood purification therapy,continuous blood purification therapy for diabetic nephropathy is more effective,safer,and can improve patient satisfaction,which is worthy of wide clinical application and promotion.
作者
燕保兰
YAN Bao-lan(Dongying Huajian Hospital,Dongying 257000,China)
出处
《中国实用医药》
2024年第20期57-59,共3页
China Practical Medicine
关键词
连续性血液净化
糖尿病肾病
临床疗效
Continuous blood purification
Diabetic nephropathy
Clinical efficacy
