改良超濾在重癥心臟瓣膜病患者瓣膜置換術(shù)中的療效分析

《改良超濾在重癥心臟瓣膜病患者瓣膜置換術(shù)中的療效分析》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在學術(shù)論文-天天文庫。

1、改良超濾在重癥心臟瓣膜病患者瓣膜置換術(shù)中的療效分析任安立焦作市人民醫(yī)院河南焦作454002【摘要】目的：觀察和探討分析改良超濾用于重癥心臟瓣膜病患者瓣膜置換術(shù)的臨床效果及應用價值。方法：選擇我院2012年8月到2014年8月收治的76例重癥心臟瓣膜病患者，隨機分為對照組和治療組，各38例。其中對照組給予常規(guī)超濾治療，而治療組給予改良超濾治療，對比兩組患者超濾后心功能指標以及超濾后指標變化情況，并進行統(tǒng)計學分析。結(jié)果：治療組患者超濾后紅細胞比容(HCT)水平明顯高于對照組，治療組的呼吸機輔助時間、術(shù)后24h尿量以及庫血使用

2、量明顯少于對照組，兩組患者心功能指標較治療前均有顯著改善，治療組治療后心功能指標明顯優(yōu)于對照組，P均<0.05顯著差異具有統(tǒng)計意義。結(jié)論：通過對重癥心臟瓣膜病患者瓣膜置換術(shù)患者進行改良超濾治療，具有較高的臨床應用價值，能夠有效提高HCT水平，濃縮血液，減少術(shù)后山血及庫血使用量，值得臨床推廣運用。【關(guān)鍵詞】改良超濾；重癥心臟瓣膜??；瓣膜置換術(shù)；心功能【中圖分類號】R654【文獻標識碼】B【文章編號】1674-8999(2015)8-0147-02TheCurativeEffectAnalysisoftheModifi

3、edUltrafiltrationinSevereHeartValveDiseaseValveReplacementRenAnli(JiaozuoPeople'sHospital,Henan454002，Jiaozuo，China)【Abstract】Objective:Toobservethemodifiedultrafiltrationarediscussedandusedintheclinicaleffectofsevereheartvalvediseasevalvularreplacementandapplica

4、tionvalue.Methods:FromAugust2012toAugust2014wereanalyzedin76casesofsevereheartvalvulardisease,wererandomlydividedintocontrolgroupandtreatmentgroup,38casesrespectively.Withthecontrolgroupgivenconventionalultrafiltrationtreatment,andtreatmentwithanimprovedultrafilt

5、rationtreatmentgroup,comparedtwogroupsofpatientsafterthemiddleofthebackofultrafiltrationfunctionindexandultrafiltrationindexchanges,andstatisticalanalysis.Results:ThetreatmentgrouppatientsafterultrafiltrationRBChematocrit(HCT)levelissignificantlyhigherthancontrol

6、group,treatmentgroupofbreathingmachineauxiliarytime,postoperative24hurineandbloodusesignificantlylessthanthecontrolgroup,twogroupsofpatientswithcardiacfunctionindexthanbeforetreatmentweresignificantlyimproved,thetreatmentgroupisobviouslybetterthanthemiddleoftheba

7、ckfunctionindexinthecontrolgroup,P<0.05,significantdifferenceshavestatisticalsignificance.Conclusion:Theimprovedinpatientswithsevereheartvalvediseasevalvularreplacementultrafiltrationtreatment,hashighclinicalvalue,caneffectivelyimprovethelevelofHCT,enrichingth

8、eblood,reducebleedingandpostoperativebloodusage,worthclinicalpromotion.【Keywords]Modifiedultrafiltration;Severeheartvalvedisease;Valvereplacement;Cardiacfuncti