血液净化对急性心力衰竭合并周身浮肿患者心功能的影响

Abstract
Figure/Table
References (28)
Related Citation (15)

Download: PDF (809 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the effect of blood purification on cardiac function in patients with acute heart failure and peripheral edema. Methods A total of 68 patients with acute heart failure and peripheral edema in Dalian Friendship Hospital, Liaoning Province from January 2018 to September 2020 were selected, and divided into group A and group B according to different treatment methods, with 34 cases in each group. Group A was treated with conventional drugs, and group B was treated with conventional drugs combined with blood purification. The clinical efficacy, heart failure markers (B-type natriuretic peptide), cardiac function (left ventricular end diastolic diameter, the left ventricular end systolic diameter, left ventricular ejection fraction) and blood gas analysis indicators (arterial partial pressure of carbon dioxide, arterial partial pressure of oxygen, oxygen saturation) of the two groups were compared. Results The total effective rate in group B was higher than that in group A (P ＜ 0.05); after treatment, the level of B-type natriuretic peptide in the two groups was lower than that before treatment, the level of B-type natriuretic peptide in group B after treatment was lower than that in group A (P ＜ 0.05). After treatment, the left ventricular end diastolic diameter and the left ventricular end systolic diameter of the two groups were lower than before treatment, left ventricular ejection fraction was higher than before treatment (P ＜ 0.05), and the left ventricular end diastolic diameter and left ventricular end systolic diameter of group B were lower than those of group A, the left ventricular ejection fraction was higher than that of group A (P ＜ 0.05); after treatment, arterial blood carbon dioxide was lower than before treatment, arterial blood oxygen partial pressure and oxygen saturation were higher than before treatment, and arterial blood carbon dioxide in group B was lower than that in group A, arterial blood oxygen partial pressure and oxygen saturation were higher than those in group A (P ＜ 0.05). Conclusion Blood purification is effective in the treatment of acute heart failure and peripheral edema, and the total effective rate is high. It can significantly improve the heart failure markers, cardiac function indexes and blood gas analysis indexes, which is worthy of promotion.

Key words： Blood purification Heart failure Curative effect Cardiac function

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHAO Chunli1 DONG Zhiyang1▲ CAO Changmeng1 LIU Ying1 LIU Fei2 NING Shuwei1

Cite this article:

ZHAO Chunli1 DONG Zhiyang1▲ CAO Changmeng1 LIU Ying1 LIU Fei2 NING Shuwei1. Effect of blood purification on cardiac function in patients with acute heart failure and peripheral edema[J]. 中国医药导报, 2021, 18(29): 73-76,85.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I29/73

[1] 菲尔凯提·玉山江，穆叶赛·尼加提.急性冠状动脉综合征合并急性心力衰竭的药物治疗进展[J].慢性病学杂志，2020，21（1）：55-57.
[2] 吕舜荣，吴忠辉，袁成棣.连续性血液净化在急性左心力衰竭合并肾功能不全治疗中的应用[J].中国实用医药，2019，14（20）：35-36.
[3] 何聪，任珊，杜全胜，等.肺部超声对床旁血液净化左心力衰竭合并肾衰竭患者血管外肺水的评估作用[J].山东医药，2018，58（5）：53-55.
[4] 李建成.机械通气联合连续床旁血液净化对尿毒症伴急性左心力衰竭竭患者血流动力学及血气指标改善的影响[J].中国血液流变学杂志，2017，27（2）：175-176，196.
[5] 中国医师协会急诊医师分会，中国心胸血管麻醉学会急救与复苏分会.中国急性心力衰竭急诊临床实践指南（2017）[J].中华急诊医学杂志，2017，26（12）：1347-1357.
[6] 刘音，鲍士忱.水肿诊断治疗[M].中国医药科技出版社，1997.
[7] 孙悦玲，宋若溪.气阴两虚型慢性心力衰竭应用补心汤联合卡维地洛治疗的临床疗效及对心功能的影响[J].特别健康，2021（15）：32-33.
[8] 段荣军，闫长春，孙小霞.左卡尼汀治疗老年急性冠脉综合征临床疗效及对血清心力衰竭标志物的影响研究[J].贵州医药，2020，44（6）：879-880.
[9] 刘俊峰.心脏超声右室收缩功能和肺动脉压测定对慢性肺心病心功能的诊断价值及其与血浆脑钠肽的相关性[D].石家庄：河北医科大学，2017.
[10] 王宇朋，王萍，李虹伟.老年急性心力衰竭的研究进展[J].中华老年心脑血管病杂志，2017，19（12）：1342-1344.
[11] 种甲，王华，杨杰孚.急性心力衰竭药物治疗进展[J].临床内科杂志，2016，33（1）：12-16.
[12] 梁栋良.无创血流动力学检测在慢性心力衰竭患者诊疗中的应用[J].中国当代医药，2020，27（14）：61-64.
[13] 张耀辉，姚晓丽.集束化治疗急诊急性心力衰竭的临床疗效[J].中国现代医生，2020，58（15）：112-115.
[14] 倪水清，贺集贤，王建平，等.不同心脏起搏方式对心力衰竭伴心房颤动患者心衰指标，心功能的影响及经济效益分析[J].成都医学院学报，2020，15（2）：251-255.
[15] 李小娜，李红鹏.连续性血液净化治疗急性左心力衰竭竭合并急性肺水肿的临床观察[J].中国实用医刊，2017， 44（2）：12-14.
[16] Demiselle J，Besson V，Sayegh J，et al. Total Artificial Heart and Chronic Haemodialysis：A Possible Bridge to Transplantation? [J]. Blood Purification，2016，42（4）：301-303.
[17] 姜文阳，李宜瑶.慢性心力衰竭患者血浆B型利钠肽水平反常正常化的研究进展[J].中国循环杂志，2018，33（7）：720-722.
[18] 沈沁，宗刚军，吴刚勇.心力衰竭合并肥胖患者血清N-末端B型利钠肽原水平变化及其临床意义[J].实用心脑肺血管病杂志，2018，26（6）：129-131.
[19] 汤港.血液净化治疗急性心力衰竭伴周身浮肿的患者的疗效观察[J].中国保健营养，2019，29（23）：74-75.
[20] Saito M，Jingu H，Oyama Y，et al. Outcomes of Intermittent Infusion Hemodiafiltration in Patients with Cardiac Hypofunction on Maintenance Hemodialysis [J]. Blood Purification，2019，48（1）：1-5.
[21] 刘婷，朱振芳.连续性血液净化治疗重症心力衰竭合并肾衰竭疗效分析[J].山西医药杂志，2020，49（20）：2858-2860.
[22] 杨晶.应用连续性血液净化疗法治疗重症心力衰竭合并肾衰竭的有效作用分析[J].中国保健营养，2021，31（2）：74.
[23] 林正均，罗昭强，金仙勇.血液透析的不同模式治疗急性肾功能衰竭患者的有效性及对肾功能、电解质的影响[J].安徽医药，2016，20（2）：117-120.
[24] 徐莹，操轩.间断性血液透析与持续缓慢低效血液透析治疗扩张型心肌病合并心力衰竭的疗效观察[J].临床内科杂志，2020，37（2）：132-133.
[25] Ronco C，Ricci Z，Brendolan A，et al. Ultrafiltration in patients with hypervolemia and congestive heart failure [J]. Blood Purif，2016，22（1）：150-163.
[26] 王丽.连续血液净化在治疗脓毒症中的作用[D].洛阳：河南科技大学，2019.
[27] 陈日红.连续性血液净化治疗重症心力衰竭合并肾功能衰竭患者的效果观察[J].科学养生，2020（8）：282.
[28] 张娟，刘也平.探讨杂合式血液净化治疗模式在慢性肾衰竭合并心力衰竭患者中的应用[J].中国保健营养，2020， 30（31）：356-357.