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| Clinical Efficacy of Continuous Renal Replacement Therapy Combined with Hemoperfusion in the Treatment of Sepsis |
| XIN Shuzhen1, HU Xiaohua2a, LIU Xiaoying1, DING Chao2b |
1. Department of Intensive Care Medicine, Binzhou People's Hospital, Binzhou Shandong 256610; 2. a.Departmentof Neurology, b.Department of Critical Care Medicine,People's Hospital of Huimin County, Binzhou, Shandong 251700, China |
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Abstract 【Objective】 To investigate the clinical efficacy of continuous renal replacement therapy (CRRT) combined with hemoperfusion in patients with sepsis. 【Methods】A total of 80 patients with sepsis admitted to Binzhou People's Hospital from May 2023 to August 2025 were randomly assigned to the control group (treated with CRRT alone) and the observation group (treated with CRRT combined with hemoperfusion), with 40 patients in each group. The recovery time, tissue perfusion indicators, inflammatory factors, T lymphocyte subsets, health status, and mortality rate were compared between the two groups. 【Results】 Compared with the control group, the duration of mechanical ventilation and length of ICU stay were shorter in the observation group (all P<0.05). After treatment, the mean arterial pressure (MAP) was higher, and lactate level was lower in the observation group than those in the control group (all P<0.05). The levels of inflammatory factors in the observation group were lower than those in the control group (all P<0.05). The observation group exhibited higher total lymphocyte count (LYM), Th cells, and CD4+/CD8+ ratios compared to the control group (all P<0.05). The acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) score in the observation group was lower than that in the control group (P<0.05). There was no statistically significant difference in 28-day mortality between the two groups (P>0.05). 【Conclusion】 CRRT combined with hemoperfusion can effectively shorten recovery time, improve immune function, inflammatory factor levels, and health status in patients with sepsis, providing an effective therapeutic strategy for sepsis management.
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Received: 11 February 2026
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