Effect of continuous veno-venous hemodiafiltration in treatment of chronic heart failure with renal failure and its im-pact on cardiac function
WU Zhihui
TANG Xiaotie
WANG Yan’ e
LI Li
Abstract：Objective To explore the effect of continuous veno-venous hemofiltration in treatment of chronic heart failure with renal failure and the influence on cardiac function.Methods Eighty cases of chronic heart failure complicated with renal failure patients were divided into the control group ( n =37) and observation group ( n =43), the control group u-sing conventional dialysis treatment, the observation group with continuous veno-venous hemodiafiltration therapy.Before and after treatment, respiratory rate ( RR) , heart rate ( HR) , mean arterial pressure ( MAP) , APACHEII score, Boston integral of heart failure, blood gas indexes ( pH, HCO3-,PaO2 , SaO2 ) , blood biochemical parameters ( serum creatinine, urea nitro-gen) and cardiac function index [mitral flow velocity (SV), cardiac output (CO), left ventricular ejection fraction (LVEF)] changes were compared between the 2 groups.Results Compared with before treatment, RR, HR, MAP, APACHEII score, Boston heart failure score, blood gas indexes, blood biochemical indexes and cardiac function indexes were significantly im-proved after treatment in both of the 2 groups, the differences were statistically significant ( P <0.05, P <0.01),and the observation group’ s HR, APACHEII score, Boston heart failure score, HCO3-,SaO2 ,serum creatinine,blood urea nitrogen, SV and LVEF levels improve significantly better than the control group ( P <0.05).Conclusion Continuous veno-venous hemofiltration in treatment of chronic heart failure with renal failure revealed good therapeutic effect, it can effectively improve heart function.
Keywords：Hemodialysiscontinuous veno-venous hemofiltrationHeart failurechronicRenal failureCardiac func-tion
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 359-362 )