CAJ | 학술논문

未被理想控制的高血压是透析病人长期存活的主要威胁。为了熟悉其变化规律，对44例透析高血压患者进行了动态血压监测及护理观察研究，发现：(1)透析高血压多以收缩压升高为主，透析程序中血压升高较透析间期为甚；(2)血压波动规律，收缩压在透析程序中于穿刺、进食、回血时呈现3个小高峰，引血、回血前30min略趋下降，回血后2～4h呈较高趋势，舒张压总体波动较平坦；(3)血压昼夜节律变化基本消失；(4)透析时的血压波幅、间期的平均动脉压均与左室重量指数呈显著正相关。
미피이상공제적고혈압시투석병인장기존활적주요위협。위료숙실기변화규률，대44례투석고혈압환자진행료동태혈압감측급호리관찰연구，발현：(1)투석고혈압다이수축압승고위주，투석정서중혈압승고교투석간기위심；(2)혈압파동규률，수축압재투석정서중우천자、진식、회혈시정현3개소고봉，인혈、회혈전30min략추하강，회혈후2～4h정교고추세，서장압총체파동교평탄；(3)혈압주야절률변화기본소실；(4)투석시적혈압파폭、간기적평균동맥압균여좌실중량지수정현저정상관。
Uncontrolled hypertension is the major threat to survival rate ofhemodialysis patients.In order to be familiar with blood pressure changing rhythm,with monitoring the ABp and nursing observation in 44 HD hypertension patients.We found:(1)systolic Bp was obviously high,Bp was higher during dialysis than no-dialysis period;(2)three peak of systolic Bp appeared when eating,fistula puncture and blood returning,but SBp slightly decreased half an hour later after blood drawing and returning and increased 2～4 hours later after blood returning.Generally DBp fluctuated slightly.(3)Bp fluctuation rhythm in day and night disappeared;(4)the extent of Bp fluctuation during dialysis and MAP during no-dialysis period were positively correlative with LVMI.