不同血液净化方法治疗重症急性肾衰

目的探讨不同血液净化方法治疗重症急性肾衰的效果。方法选择我院收治的重症急性肾衰患者60例．按顺序分为i组：A组采取日间连续性静脉一静脉血液滤过法（CVVHD），B组采取连续性静脉一静脉血液滤过法（CVVH），C组采取连续性静脉一静脉血液透析滤过法（CVVDHF），比较血肌酐、尿素氮、二氧化碳结合力水平，统计肾功能恢复情况及平均每日费用等。结果净化后，三组肾功能、血液的血肌酐、尿素氮、二氧化碳结合力水平无明显差异（P〉0．05）；但B、C组费用明显高于A组（P〈0．05）。结论CVVDHF与CVVH均效果良好；CVVHD更经济。

The different blood purification treatment for severe acute renal failure

Objective To discuss the different blood purification treatment clinical effect for severe acute renal failure.Methods Sixty patients who had severe acute renal failure were chosen for the research.Patients in group A were treated by CVVHD;Patients in group B were treated by CVVH and patients in group C were treated by CVVDHF.There was a comprehensive comparison about serum creatinine,urea nitrogen and carbon dioxide-combining power for all groups’ patients.The treatment effect and dialysis costs of all groups were calculated and an investigation was done.Results The data of serum creatinine,urea nitrogen and carbon dioxide-combining power for all groups’ patients did not have obvious differences and the treatment effect of all groups was also nearly the same.But the dialysis costs of group B and C was much more expensive than that of group A.Conclusion Both CVVH and CVVDHF have obvious treatment effects for severe acute renal failure,but CVVHD is cheaper.