CAJ | 학술논문

目的探讨血液透析过程中发生低血压的相关因素.方法回顾性分析在进行血液透析过程中发生发作性低血压的45例患者的临床资料.结果糖尿病肾病患者低血压发生率为27.94％；60岁以上较60岁以下,常温标准透析液较低温高钠透析液,阶梯式超滤模式较恒定、BVM控制超滤模式,超滤量＞3kg较超滤量＜3 kg的患者低血压发生率高(x2=9.87、81.22、171.02、130.12,均P＜0.01).结论原发病、年龄、温度、透析液钠浓度、超滤模式及超滤量均与低血压的发生有关.
목적 탐토혈액투석과정중발생저혈압적상관인소.방법 회고성분석재진행혈액투석과정중발생발작성저혈압적45례환자적림상자료.결과 당뇨병신병환자저혈압발생솔위27.94％；60세이상교60세이하,상온표준투석액교저온고납투석액,계제식초려모식교항정、BVM공제초려모식,초려량＞3kg교초려량＜3 kg적환자저혈압발생솔고(x2=9.87、81.22、171.02、130.12,균P＜0.01).결론 원발병、년령、온도、투석액납농도、초려모식급초려량균여저혈압적발생유관.
Objective To explore the relevant factors of hypotension in the patients applied hemodialysis.Methods 45 patients who had intradialytic hypotension in our dialysis room were selected for the analysis.Results The patients with diabetic nephropathy,the elderly,high temperature,hyponatremia,higher ultrafiltration volume,stepwise ultrafihration and the constant ultrafihration showed higher incidence of hypotension during hemodialysis(x2 =9.87,81.22,171.02,130.12,all P ＜0.01).Conclusion The primary disease,age of the patient,uhrafiltration volume,temperature,sodium concentration and the ultrafiltration are all the relevant factors for intradialytic hypotension