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目的:观察连续性血液净化治疗尿毒症难治性高血压的临床效果,提高临床治疗水平。方法:回顾性分析我院自2006年3月～2010年4月收治的60例尿毒症难治性高血压患者的临床资料,均采用连续性血液净化治疗,观察治疗效果。结果(:1)本组60例患者连续治疗4周后显效38例,有效18例,无效4,总有效率为93.3%。(2)60例患者治疗前后血压及BUN、Cr水平均有显著改善(P<0.01),具有统计学意义(。3)本组60例患者治疗前后血钠、血钙及血钾水平变化不大(P>0.05),无统计学意义。结论:连续性血液净化治疗尿毒症难治性高血压安全有效,值得临床推广应用。
Objective: To observe the clinical effect of continuous blood purification in the treatment of uremic refractory hypertension and improve the clinical treatment level. Methods: The clinical data of 60 patients with refractory hypertension with uremia admitted from March 2006 to April 2010 in our hospital were analyzed retrospectively. All the patients were treated with continuous blood purification and the therapeutic effects were observed. Results: (1) The group of 60 patients after 4 weeks of continuous treatment markedly effective in 38 cases, 18 cases were effective, 4, the total effective rate was 93.3%. (2) Before and after treatment, the blood pressure and BUN and Cr levels in 60 patients were significantly improved (P <0.01), with statistical significance (.3) The changes of serum sodium, serum calcium and serum potassium in 60 patients before and after treatment did not change Large (P> 0.05), no statistical significance. Conclusion: Continuous blood purification is safe and effective in the treatment of uremic refractory hypertension, which is worthy of clinical application.