国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
22期
3480-3482
,共3页
低温可调钠%血液透析%低血压
低溫可調鈉%血液透析%低血壓
저온가조납%혈액투석%저혈압
Low temperature adjustable sodium%Hemodialysis%Hypotension
目的 对低温可调钠透析预防透析中低血压的疗效进行观察.方法 选取2011年1月至2012年1月期间进行维持性血液透析治疗且在过程中易发低血压的22例患者作为研究对象,并随机分为实验组和对照组,每组各11例.实验组患者行低温可调钠透析,对照组行标准常温透析,对两组患者在透析间期平均体重增加量、平均实际超滤量以及透析前后电解质(Na+、K+)、肾功能指标(Bun、Scr)进行检测,并对透析过程中患者发生低血压情况进行统计,将各组检测结果进行比较分析.结果 透析前两组患者血压比较差异无统计学意义(P＞0.05),在透析中和透析后实验组患者的收缩压和舒张压都较对照组升高,同时实验组患者在透析过程中发生低血压的次数也明显低于对照组,其结果比较差异有统计学意义(P＜0.05).结论 低温可调钠透析可有效降低维持血液透析高危低血压患者在血液透析过程中低血压的的发生率.
目的 對低溫可調鈉透析預防透析中低血壓的療效進行觀察.方法 選取2011年1月至2012年1月期間進行維持性血液透析治療且在過程中易髮低血壓的22例患者作為研究對象,併隨機分為實驗組和對照組,每組各11例.實驗組患者行低溫可調鈉透析,對照組行標準常溫透析,對兩組患者在透析間期平均體重增加量、平均實際超濾量以及透析前後電解質(Na+、K+)、腎功能指標(Bun、Scr)進行檢測,併對透析過程中患者髮生低血壓情況進行統計,將各組檢測結果進行比較分析.結果 透析前兩組患者血壓比較差異無統計學意義(P＞0.05),在透析中和透析後實驗組患者的收縮壓和舒張壓都較對照組升高,同時實驗組患者在透析過程中髮生低血壓的次數也明顯低于對照組,其結果比較差異有統計學意義(P＜0.05).結論 低溫可調鈉透析可有效降低維持血液透析高危低血壓患者在血液透析過程中低血壓的的髮生率.
목적 대저온가조납투석예방투석중저혈압적료효진행관찰.방법 선취2011년1월지2012년1월기간진행유지성혈액투석치료차재과정중역발저혈압적22례환자작위연구대상,병수궤분위실험조화대조조,매조각11례.실험조환자행저온가조납투석,대조조행표준상온투석,대량조환자재투석간기평균체중증가량、평균실제초려량이급투석전후전해질(Na+、K+)、신공능지표(Bun、Scr)진행검측,병대투석과정중환자발생저혈압정황진행통계,장각조검측결과진행비교분석.결과 투석전량조환자혈압비교차이무통계학의의(P＞0.05),재투석중화투석후실험조환자적수축압화서장압도교대조조승고,동시실험조환자재투석과정중발생저혈압적차수야명현저우대조조,기결과비교차이유통계학의의(P＜0.05).결론 저온가조납투석가유효강저유지혈액투석고위저혈압환자재혈액투석과정중저혈압적적발생솔.
Objective To observe the curative effect of preventing the hypotension in low temperature adjustable sodium.Methods We selected 22 patients proned to have hypotension during the process of sustaining hemodialysis therapy in period of January 2011 to January 2012 in our hospital as the research object,all the patients were randomly divided into experimental group and the control group,11 cases for each group.The patients of experimeutal group were treated with low temperature adjustable sodium,the patients in control group were treated with standard normal temperature profile hemodialysis,we recorded and tested the result of average weight increasing,average real ultrafiltration volume in period of dialysis and electrolytes (Na+,K+),renal function indexes (Bun,Scr) before and after dialysis,and observed the patients with hypotension occurring in the process of dialysis,then the results were compared and tested.Results Patients of two groups showed no significant difference in the factor of blood pressure before hemodialysis (P ＞0.05),compared with the control group,the systolic pressure and diastolic blood pressure of the experimental group were increased significantly,the experimental group patients occurred hypotension in the process of hemodialysis,also significantly lower than that of the control group,the results performed a statistical significance (P ＜ 0.05).Conclusion Low temperature adjustable sodium can effectively reduce the incidence of hypotension in the maintain hemodialysis hypotension and high risk of hypotension patients.
