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哈尔滨医药  2022, Vol. 42 Issue (2): 29-30    DOI: 10.3969/j.issn.1001-8131.2022.02.011
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CRRT联合乌司他丁对急性感染性休克患者炎症状态及肾功能的影响
钱庆
确山县人民医院急诊科,河南 确山 463200
Effect of CRRT combined with Ulinastatin on inflammatory state and renal function in patients with acute septic shock
Qian Qing
Emergency department of Queshan people's Hospital,Queshan 463200,China
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摘要 目的 探讨连续肾脏替代疗法(CRRT)联合乌司他丁对急性感染性休克患者炎症状态及肾功能的影响。方法 回顾性分析50例急性感染性休克患者作为对照组(行CRRT治疗),同时选取48例急性感染性休克患者作为观察组(行CRRT联合乌司他丁治疗)。比较两组治疗前、治疗3d后的炎症状态和肾功能情况。结果 治疗3 d后,两组白细胞计数(WBC)、C-反应蛋白(CRP)、降钙素原(PCT)、白细胞介素-6(IL-6)、白细胞介素-10(IL-10)、肿瘤坏死因子-α(TNF-α)水平均较治疗前降低,且观察组上述指标水平较对照组低,差异有统计学意义(P<0.05);治疗3 d后,两组BUN、SCr水平均低于治疗前,且观察组上述指标水平较对照组低,差异有统计学意义(P<0.05)。结论 CRRT联合乌司他丁治疗急性感染性休克患者,可有效清除炎性物质,改善肾功能,有较高临床应用价值。
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钱庆
关键词 急性感染性休克连续肾脏替代疗法乌司他丁炎症状态肾功能    
AbstractObjective To investigate the effect of continuous renal replacement therapy(CRRT)combined with ulinastatin on inflammatory state and renal function in patients with acute septic shock.Methods Retrospective analysis,50 cases of acute septic shock patients were selected as the control group(CRRT treatment),and 48 cases of acute septic shock patients were selected as the observation group(CRRT combined with ulinastatin treatment).The inflammatory status and renal function were compared between the two groups before and after treatment for 3 days.Results After 3 days of treatment,white blood cell count(WBC),C-reactive protein(CRP),procalcitonin(PCT)in the two groups were compared The levels of interleukin-6(IL-6),interleukin-10(IL-10),tumor necrosis factor(TNF - α)in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05);after 3 days of treatment,the levels of bun and SCR in the two groups were lower than those before treatment,and the levels of the above indexes in the observation group were lower than those in the control group(P<0.05). Conclusion CRRT combined with ulinastatin can effectively remove inflammatory substances and improve renal function in patients with acute septic shock,which has high clinical application value.
Key wordsAcute septic shock    Continuous renal replacement therapy    Ulinastatin    Inflammatory state    Renal function
收稿日期: 2021-02-02     
PACS:  R457.2  
引用本文:   
钱庆. CRRT联合乌司他丁对急性感染性休克患者炎症状态及肾功能的影响[J]. 哈尔滨医药, 2022, 42(2): 29-30.
Qian Qing. Effect of CRRT combined with Ulinastatin on inflammatory state and renal function in patients with acute septic shock. journal1, 2022, 42(2): 29-30.
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http://www.hrbyybjb.org.cn/CN/10.3969/j.issn.1001-8131.2022.02.011     或     http://www.hrbyybjb.org.cn/CN/Y2022/V42/I2/29
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