Clinical analysis of AN69ST membrane continuous venous hemofiltration in the treatment of severe sepsis.

Open medicine (Warsaw, Poland)(2023)

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摘要
We aimed to investigate the clinical efficacy of blood purification technology based on cytokine adsorption in the treatment of sepsis. Sixty patients with sepsis were randomly divided into control ( = 30) and experimental ( = 30) groups. Both groups were given routine treatment and continuous venovenous hemofiltration, and on this basis, the experimental group received acrylonitrile/sodium methacrylate (AN69ST) blood purification. The levels of C-reactive protein, procalcitonin, white blood cell count, albumin, platelets, total bilirubin, creatinine, lactic acid, and APACE II score, as well as secretion of inflammatory factors interleukin (IL)-6 and tumor necrosis factor (TNF-α) were compared. The hospitalization time, mechanical ventilation (MV) time, drug use time, and mortality were analyzed. After treatment, the secretion levels of IL-6 and TNF-α were decreased, and other indicators were significantly improved compared with those before treatment ( < 0.05), especially in the experimental group ( < 0.05). The hospitalization time, MV time, and drug use time in the experimental group were significantly lower than those of the control group ( < 0.05), and the mortality was lower than that in the control group ( < 0.05). In conclusion, blood purification technology based on cytokine adsorption can significantly improve various indicators of sepsis patients, reduce hospitalization time, reduce mortality, and improve the prognosis.
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关键词
sepsis, cytokine adsorption, AN69ST, blood purification, clinical efficacy
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