CAJ | 학술논문

目的研究老年血液透析患者透析结束后不同的卧床时间对直立性低血压的影响,探索在临床上易于实施又能保障老年血液透析患者安全的透析结束后适宜的继续卧床时间.方法选择2011年1月至2012年5月在我院进行规律性血液透析的老年患者58例(174例次),采用自身对照,按血液透析后不同的卧床时间分为透析结束后立即起床T0组、卧床10 min后起床T10组、卧床20 min后起床T20组各58例次,观察3组直立性低血压的发生率.结果 T10组和T20组与T0组相比直立性低血压的发生率明显降低,但T10组和T20组比较差异无统计学意义；患者T10的接受程度67.24％高于T20的接受程度17.24％.结论老年血液透析患者透析结束后继续躺卧至少10 min,再缓慢起床,可降低直立性低血压的发生.
목적 연구노년혈액투석환자투석결속후불동적와상시간대직립성저혈압적영향,탐색재림상상역우실시우능보장노년혈액투석환자안전적투석결속후괄의적계속와상시간.방법 선택2011년1월지2012년5월재아원진행규률성혈액투석적노년환자58례(174례차),채용자신대조,안혈액투석후불동적와상시간분위투석결속후립즉기상T0조、와상10 min후기상T10조、와상20 min후기상T20조각58례차,관찰3조직립성저혈압적발생솔.결과 T10조화T20조여T0조상비직립성저혈압적발생솔명현강저,단T10조화T20조비교차이무통계학의의；환자T10적접수정도67.24％고우T20적접수정도17.24％.결론 노년혈액투석환자투석결속후계속당와지소10 min,재완만기상,가강저직립성저혈압적발생.
Objective To study the influence of different bed rest time on orthostatic hypotension,and explore a feasible and appropriate bed rest time for elderly patients after hemodialysis.Methods 58 elderly patients with regular hemodialysis were selected from January 2011 to May 2012.By self-control,they were divided into three groups according to different bed rest time:T0 group who got up immediately after the hemodialysis,T10 group who got up after 10-minute bed rest,T20 group who got up after 20-minute bed rest.The incidence of orthostatic hypotension was observed and compared between three groups.Results Compared to T0 group,the incidence of orthostatic hypotension in T10 and T20 groups was significantly reduced.However,no difference was seen between T10 and T20 groups.The acceptability rate in T10 group was 67.24％,higher than 17.24％ of the T20 group.Conclusions Elderly hemodialysis patients should continue to lie down for at least 10 minutes after hemodialysis,and then slowly get up,this measure can reduce the occurrence of orthostatic hypotension.