CAJ | 학술논문

目的：分析和探讨尿毒症并发高血压急症的临床处理。方法选取我院2013年2月至2014年2月收治的尿毒症并发高血压急症患者30例，通过双色球法分为甲组(n=15)和乙组(n=15)，在对症治疗基础上，甲组采用硝酸甘油治疗，乙组采用硝普钠治疗，对患者临床治疗效果进行分析。结果乙组患者治疗有效率显著高于甲组(P<0.05)，两组患者不良反应发生率差异无统计学意义(P>0.05)。全部患者经降压、脱水、透析等治疗后临床症状均明显改善。结论在尿毒症并发高血压急症治疗中，快速降压、充分透析、超滤脱水等有利于改善临床症状，提高临床治疗效果，从而减少尿毒症并发高血压急症的发生。
목적：분석화탐토뇨독증병발고혈압급증적림상처리。방법선취아원2013년2월지2014년2월수치적뇨독증병발고혈압급증환자30례，통과쌍색구법분위갑조(n=15)화을조(n=15)，재대증치료기출상，갑조채용초산감유치료，을조채용초보납치료，대환자림상치료효과진행분석。결과을조환자치료유효솔현저고우갑조(P<0.05)，량조환자불량반응발생솔차이무통계학의의(P>0.05)。전부환자경강압、탈수、투석등치료후림상증상균명현개선。결론재뇨독증병발고혈압급증치료중，쾌속강압、충분투석、초려탈수등유리우개선림상증상，제고림상치료효과，종이감소뇨독증병발고혈압급증적발생。
Objective: To analyze the clinical treatment and to explore the uremia complicated with hypertensive emergency. Methods: 30 uremic patients with hypertensive emergency patients in our hospital from 2013 February to 2014 year in February were treated by the double chromosphere cases were divided into group A (n=15) and group B (n=15), based on symptomatic treatment, group A with nitroglycerin treatment, group B with sodium nitroprusside in the treatment of patients, clinical thera-peutic effect analysis.Results: The effective rate of the treatment group B patients was significantly higher than that in group A (P<0.05), two groups of patients with adverse reaction rate had no significant difference (P>0.05). All the patients after decom-pression, dehydration, dialysis and other clinical symptoms after treatment were significantly improved.Conclusion:The ure-mia complicated with hypertension emergency treatment, quick buck, adequate dialysis, ultrafiltration, could improve the clinical symptoms, improve the clinical treatment effect, so as to reduce the occurrence of uremia complicated with hypertensive emer-gency.