Effect analysis of target capacity management strategy in reducing the incidence of hypotension in critically ill CRRT patients
目标容量管理策略在降低重症CRRT患者低血压发生率的效果分析

摘要

目的 分析在降低重症CRRT患者低血压发生率中应用目标容量管理策略的效果。方法 抽选在2021年1月-2023年12月3年内在我科接受连续肾脏代替疗法（CRRT）患者220例为研究对象，以随机分组方式分110例实施常规护理，观察组110例实施目标容量管理策略，对比两组患者低血压发生情况，对比两组透析期间低血压均值。结果 观察组低血压发生率低于对照组，同时透析期间血压均值高于对照组，差异显著，P﹤0.05。结论 在降低重症CRRT患者低血压发生率中应用目标容量管理策略有较好的效果，可降低低血压发生率，维持血压稳定，利于保障透析治疗效果，让患者不适感降低。

Abstract

Objective To analyze the effect of target volume management strategy in reducing the incidence of hypotension in severe CRRT patients.
Methods a total of 220 patients who received continuous renal replacement therapy (CRRT) in our department from January to December in the 202120233 years were enrolled in the study, objective volume management strategy was applied to 110 patients in the observation group, and the incidence of hypotension was compared between the two groups, and the mean of hypotension during dialysis was compared between the two groups.
Results the incidence of hypotension in the observation group was lower than that in the control group, and the mean blood pressure during dialysis was higher than that in the control group (p < 0.05).
Conclusion   target volume management is effective in reducing the incidence of hypotension in patients with severe CRRT. It can reduce the incidence of hypotension, maintain the stability of blood pressure and ensure the effect of dialysis, make patients less uncomfortable.