连续性静脉静脉血液滤过治疗肝肾综合征的临床研究

摘要

目的:观察连续性静脉静脉血液滤过(continuous venovenous hemofiltration,CVVH)治疗肝肾综合征(hepatorenal syndrome,HRS)的疗效.方法:32例HRS患者随机分为两组,治疗组16例采用CVVH治疗,对照组16例采用单纯药物治疗,两组患者均接收一般内科治疗.结果:治疗后治疗组患者肾功能、电解质、平均动脉压的改善水平与对照组相比,差异有显著性意义(P＜0.05)；生存率较对照组高,差异有显著性意义(P＜0.05).结论:CVVH是治疗肝硬化并发HRS的有效方法.%Objective: To evaluate the effect of continuous venovenous hemofiltration (CWH) in the treatment of hepatore-nal syndrome. Methods: A total of 32 patients with hepatorenal syndrome were divided into 2 groups randomly. The group A (n = 16) was treated with CWH. The group B (n = 16) was treated with general medical therapy. Both groups received the basic treatment. Results: Renal function tests, serum electrolyte level, mean arterial and survival rate were much better in patients with CWH therapy than those in patients with general medical therapy alone. Conclusion: CWH is an effective way in the treatment of hepatorenal syndrome.