血液透析治疗急性肾功能衰竭临床观察

目的：探析临床上采用血液透析治疗急性‘肾功能衰竭（ARF）的疗效。方法：本研究随机选取本院2010年3月-2012年5月收治的96例急性肾功能衰竭患者为研究对象，采用随机数字法将其分为两组，对照组48例给予临床常规治疗，治疗组48例则采用血液透析治疗，观察并对比分析两组患者生理生化指标、住院时间、并发症发生情况以及预后情况等。结果：经过治疗后，两组生理生化指标均有不同程度改善（P〈0．05），治疗组改善情况明显优于对照组（P〈0．05）；治疗组痊愈率、总有效率明显高于对照组（P〈0．05）；治疗组住院时间明显短于对照组（P〈0．05），并发症发生率明显低于对照组（P〈0．05），死亡率明显低于对照组（P〈0．05）。结论：临床常规治疗对急性肾功能衰竭具有一定的疗效，但未达到预期的治疗目标，采用血液透析能有效改善患者各项生理指标，缩短疗程，提高治愈率，降低并发症发生率及死亡率，明显改善患者的生存质量，值得在临床上广泛推广和应用。

Clinical Observation of Hematodialysis in Treatment of Acute Renal Failure

Objective： To explore curative effect of the hematodialysis in treatment of acute renal failure （ ARF ） .Method： Ninty-six cases of patients with acute renal failure admited by this hospital from March 2010 to May 2012 in this study were randomly selected as research subjects, the patients were divided into 2 groups by the random number methodology, 48 cases of patients in the control group underwent clinical routine treatment, while 48 cases of patients in the treatment group accepted hematodialysis clinically, physiological and biochemical indexes, length of hospital stay, complications, prognosis, etc of patients in two group were compared and analyzed.Result： Physiological indexes of patients in two group were improved with varying degrees after treatment （ P〈0.05 ）, the improvements in the treatment group was significantly better than that of the control group （ P〈O.05 ）. The cure rate and total effective rate of patients in the treatment group were obviously higher than that of patients in control group （ P〈0.05 ） .The hospital stay in the treatment group was obviously shorter than that of patient in the control group （ P〈O.05 ）, the complication rate of patients in the treatment group was significantly lower than ~hat of patients in the control group （ P〈O.05 ）, and the death rate of patients in the treatment group was significantly lower than that in the control group （ P〈0.05 ） .Conclusion： Clinical routine imposes certain curative effect in treating acute renal failure, but expected goal of treatment fails to be reached, the hemodialysis imposed on patients can effectively improve physiological indicators of patients, shorten the treatment course, increase the cure rate, reduce the incidence of complications and mortality rate, and improve patient＇s quality of life, it deserves to be widely popularized and applied in clinic operations.