论文部分内容阅读
目的观察和研究精一等药物综合治疗急性肾功能衰竭(ARF)的临床疗效和意义。方法对泗水县人民医院收治的80例ARF患者应用速尿、多巴胺、精一和补液等综合治疗,根据是否应用精一随机分为精一治疗组和常规治疗组。观察治疗前及治疗过程中血清肌酐、尿素氮、尿量和肾脏外形大小的变化。结果精一治疗组尿量增加和肌酐恢复比常规治疗组迅速(P<0.05,P<0.001),需血透率明显低于常规治疗组(P<0.001)。80例患者中有22例最终需血液透析治疗。病因是影响疗效的主要原因之一。结论对某些病因所致的ARF患者,综合药物治疗能恢复肾功能,使患者免受透析之苦。
Objective To observe and study the clinical efficacy and significance of the comprehensive treatment of acute renal failure (ARF) by Jingyi and other drugs. Methods 80 cases of ARF patients admitted to Sishui People’s Hospital were treated with furosemide, dopamine, Jingyi and rehydration, and were divided into Jingyi group and conventional treatment group according to whether they were used or not. Changes of serum creatinine, urea nitrogen, urine volume and kidney size before and during treatment were observed. Results In the treatment group, the increase of urine volume and creatinine recovery were faster than those of the conventional treatment group (P <0.05, P <0.001), and the required hemodialysis rate was significantly lower than that of the conventional treatment group (P <0.001). Twenty-two of the 80 patients eventually required hemodialysis. Etiology is one of the main factors that affect the efficacy. Conclusion For some patients with ARF caused by etiology, comprehensive medical treatment can restore renal function, make patients suffer from dialysis.