连续血液滤过对肾功能衰竭患者血液 去甲肾上腺素浓度及清除率的影响
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(1.福建中医药大学附属第二人民医院,福建 福州 350000)

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周晓,女,主治医师,主要研究方向是急危重症。

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R 457

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Effect of Continuous Hemofiltration on Blood Norepinephrine Concentration and Clearance in Patients with Renal Failure
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(1.The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fujian Fuzhou 350000)

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    摘要:

    摘 要目的:观察肾功能衰竭患者应用连续血液滤过(CVVH)对血液去甲肾上腺素浓度及清除率的影响。方法:选取福建中医药大学附属第二人民医院 2020 年 6 月至 2021 年 6 月收治的 65 例肾功能衰竭患者,均接受 CVVH 治疗。经随机数字表法分组,对照组 32 例采用 2 L·h-1 置换液,观察组 33 例采用 3 L·h-1 置换液,比较两组 患者临床指标、血液去甲肾上腺素浓度与清除率。结果: 观察组患者血小板计数高于对照组,Ca2+ 浓度低于对照组, 差异具有统计学意义(P < 0.05);观察组患者去甲肾上腺素清除率高于对照组,差异具有统计学意义(P < 0.05)。结论:针对肾功能衰竭患者,CVVH 治疗效果明显,并且高置换液流量去甲肾上腺素清除率更高,而去甲肾上腺素 浓度不受置换液流量影响。

    Abstract:

    AbstractObjective To observe the effect of continuous veno venous hemofilration (CVVH) on blood norepinephrine concentration and clearance rate in patients with renal failure. Methods A total of 65 patients with renal failure admitted to the Second Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine from June 2020 to June 2021 were selected. All patients received CVVH treatment. The control group with 32 cases was treated with 2 L·h-1 displacement fluid, and the observation group with 33 cases was treated with 3 L·h-1 displacement fluid. The clinical indicators, blood norepinephrine concentration and clearance rate were compared between the two groups.Results The platelet count of the observation group was higher than that of the control group, and the Ca2+ concentration was lower than that of the control group, and the differences were statistically significant (P < 0.05). The clearance rate of norepinephrine in the observation group was higher than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion For patients with renal failure, CVVH is effective, and the high displacement fluid flow rate has a higher clearance rate of norepinephrine, while the concentration of norepinephrine is not affected by the displacement fluid flow rate.

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  • 收稿日期:2022-08-16
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  • 在线发布日期: 2023-05-24
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