CAJ | 학술논문

目的：了解慢性血液透析(血透)人群高血压现状，评估透析过程超滤脱水对血压的影响。方法：回顾分析360例慢性血透病人临床资料，观察3个月每个病人透析前后体重变化与血压变化的关系。结果：360例中有278例(77.2％)发生高血压，主要表现为透析前收缩压升高，透析过程体重的减轻与收缩压的降低相关联(γ=0.63,P＜0.001)。结论：慢性血透人群多数并发高血压，主要是透析前收缩压升高，透析过程适当的超滤脱水对控制血压是有益的。
목적：료해만성혈액투석(혈투)인군고혈압현상，평고투석과정초려탈수대혈압적영향。방법：회고분석360례만성혈투병인림상자료，관찰3개월매개병인투석전후체중변화여혈압변화적관계。결과：360례중유278례(77.2％)발생고혈압，주요표현위투석전수축압승고，투석과정체중적감경여수축압적강저상관련(γ=0.63,P＜0.001)。결론：만성혈투인군다수병발고혈압，주요시투석전수축압승고，투석과정괄당적초려탈수대공제혈압시유익적。
Aim: The current study is to study hypertension in ambulatory hemodialysis patients andto evalute the influence of ultrafiltration on the blood pressure during dialysis. Methords: The clinicaldata of 360 ambulatory hemodialysis patients were analyzed respectively. For each patient, the changes ofbody weight and blood pressure were observed for 3 months. Results: In 360 patients, 278 had hyperten-sion. Most of them had elevation of systolic blood pressure before dialysis. The reduction of body weightwas correlated with the decrease in systolic blood preussre( r = 0.63, P< 0.001 ). Conclusion: Hyper-tension was a frequent finding in ambulatory hemodialysis patients, most of them were elevation of systolicblood pressure before dialysis. Appropriated ultraliltration during dialysis is of benefit to the adequatedcontrol of hypertension.