摘要
目的探讨连续性静脉-静脉血液滤过治疗顽固性心力衰竭的临床效果。方法选择2011年12月~2014年12月我院收治的50例顽固性心力衰竭患者,随机分为观察组和对照组。观察组给予常规抗慢性心力衰竭治疗,观察组同时给连续性静脉-静脉血液滤过。测定两组患者治疗前后的尿量、心脏指数、左室射血分数。治疗后进行心功能评定。结果观察组治疗后的尿量、心脏指数、左室射血分数与本组治疗前比较,差异有统计学意义（P〈0.05）;对照组治疗后的尿量、心脏指数、左室射血分数与本组治疗前比较,差异有统计学意义（P〈0.05）;观察组治疗后的尿量、心脏指数、左室射血分数与对照组治疗后比较,差异有统计学意义（P〈0.05）。观察组治疗后Ⅰ级和Ⅱ级患者所占比例高于对照组,差异有统计学意义（P〈0.05）。结论连续性静脉-静脉血液滤过能显著改善顽固性心力衰竭心功能,疗效显著,值得借鉴。
Objective To discuss the clinical effects of continuous venous-venous hemofiltration in treatment of refractory heart failure. Methods 50 patients with refractory heart failure treated from December 2011 and December 2014 were selected and randomly divided into the observation group and the control group.Patients in the observation group were treated by conventional anti-chronic cardiac failure therapy,while patients in the observation group were additionally given continuous venous-venous hemofiltration.The left ventricular ejection fraction（LVEF）,cardiac index（CI） and urine volume before and after treatment were determined. Results There was statistically significant differences between before and after treatment in LVEF,CI and urine volume between two groups（P〈0.05）.There was statistically significant differences between two groups in LVEF,CI and urine volume after treatment（P〈0.05）.The proportion of grade I and II was higher in the observation group than that in the control group,with statistical significance（P 〈0.05）. Conclusion Continuous venous-venous hemofiltration can evidently improve the cardiac function in patients with refractory heart failure,which is worthy to be promoted due to its effectiveness.
出处
《中国当代医药》
2016年第1期32-34,共3页
China Modern Medicine
关键词
顽固性心力衰竭
连续性静脉-静脉血液滤过
心功能
Refractory heart failure
Continuous venous-venous hemofiltration
Cardiac function
