国际移植与血液净化杂志
國際移植與血液淨化雜誌
국제이식여혈액정화잡지
INTERNATIONAL JOURNAL OF TRANSPLANTATION AND HEMOPURIFICATION
2011年
1期
22-24
,共3页
尿毒症%维持性血液透析%难治性高血压%长时每日透析滤过
尿毒癥%維持性血液透析%難治性高血壓%長時每日透析濾過
뇨독증%유지성혈액투석%난치성고혈압%장시매일투석려과
Uremia%Maintenance hemodialysis%Refractory hypertension%Extended daily dialysis-filtration
目的 观察费森尤斯4008ARrTplus治疗模式下延时每日透析滤过治疗尿毒症并发难治性高血压患者的临床疗效.方法 回顾性分析15例尿毒症并发难治性高血压患者经延时每日透析滤过治疗后血压控制情况及治疗前、后血甲状旁腺激素水平、体重改变.结果 15例患者经过延时每日透析滤过治疗后收缩压、舒张压、平均动脉压、血甲状旁腺激素水平、体重与治疗前比较差异有统计学意义(P＜0.05),血压均较前控制好转,服降压药减少.结论 尿毒症患者并发难治性高血压的发生与容量负荷过重、肾素-血管紧张素系统过度活跃以及继发性甲状旁腺亢进等有关,ARrTplus治疗模式下延时每日透析滤过为一有效控制尿毒症患者难治性高血压的方法.
目的 觀察費森尤斯4008ARrTplus治療模式下延時每日透析濾過治療尿毒癥併髮難治性高血壓患者的臨床療效.方法 迴顧性分析15例尿毒癥併髮難治性高血壓患者經延時每日透析濾過治療後血壓控製情況及治療前、後血甲狀徬腺激素水平、體重改變.結果 15例患者經過延時每日透析濾過治療後收縮壓、舒張壓、平均動脈壓、血甲狀徬腺激素水平、體重與治療前比較差異有統計學意義(P＜0.05),血壓均較前控製好轉,服降壓藥減少.結論 尿毒癥患者併髮難治性高血壓的髮生與容量負荷過重、腎素-血管緊張素繫統過度活躍以及繼髮性甲狀徬腺亢進等有關,ARrTplus治療模式下延時每日透析濾過為一有效控製尿毒癥患者難治性高血壓的方法.
목적 관찰비삼우사4008ARrTplus치료모식하연시매일투석려과치료뇨독증병발난치성고혈압환자적림상료효.방법 회고성분석15례뇨독증병발난치성고혈압환자경연시매일투석려과치료후혈압공제정황급치료전、후혈갑상방선격소수평、체중개변.결과 15례환자경과연시매일투석려과치료후수축압、서장압、평균동맥압、혈갑상방선격소수평、체중여치료전비교차이유통계학의의(P＜0.05),혈압균교전공제호전,복강압약감소.결론 뇨독증환자병발난치성고혈압적발생여용량부하과중、신소-혈관긴장소계통과도활약이급계발성갑상방선항진등유관,ARrTplus치료모식하연시매일투석려과위일유효공제뇨독증환자난치성고혈압적방법.
Objective To observe therapeutic effect of extended daily dialysis-Filtration(EDD-f) in the treatment of refractory hypertension(RH) of uremia patients in the ARrTplus model. Methods We retrospectively analyzed blood pressure, para-thormone and body weight of the 15 uremia patients with refractory hypertension be-fore as well as after the treament of EDD-f. Result The systolic blood pressure(SBP),diastolic blood pressure(DBP) ,mean arterial pressure(MAP), parathormone, body weight and the number of antihypertensive drugs of the patients decreased signi-ficantly after treatment. These differences were statistically significant( P ＜ 0. 05). Conclusion The causes of refractory hypertension of uremia patients are related with volume overload, hyperactivity of renin-angiotensin system and Secondary hyper-parathyroidism.The extended daily dialysis-filtration in the ARrTplus model is the effective method in the control of refractory hypertension of uremia patients.
