引用本文:廖新媛,李金成,欧肇秋,苏富昌.高通量透析对维持性血液透析患者高血压的影响[J].中国临床新医学,2017,10(3):245-247.
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高通量透析对维持性血液透析患者高血压的影响
廖新媛,李金成,欧肇秋,苏富昌
527300 广东,云浮市人民医院肾内科
摘要:
[摘要] 目的 探讨高通量透析对维持性血液透析患者高血压的影响。方法 选取2014-06~2016-06收治的行维持性血液透析的患者112例进行研究,根据入院顺序随机分为观察组和对照组,每组56例。对照组行低通量透析,观察组行高通量透析,两组均透析4周。比较两组患者治疗前后的血压变化以及不良反应的发生情况。结果 两组患者治疗后收缩压(SBP)和舒张压(DBP)水平均明显下降,组内前后差异有统计学意义(P<0.05),且观察组显著低于对照组(P<0.01)。观察组的不良反应发生率为5.36%,明显低于对照组的16.07%(P<0.05)。结论 采用高通量透析对维持性血液透析患者可以有效降低和控制血压水平,减少不良反应,适合临床推广。
关键词:  高通量透析  维持性血液透析  高血压
DOI:10.3969/j.issn.1674-3806.2017.03.15
分类号:R 692
基金项目:
Effects of high flux dialysis on high blood pressure in patients with maintenance hemodialysis
LIAO Xin-yuan, LI Jin-cheng, OU Zhao-qiu, et al.
Department of Nephrology, the People′s Hospital of Yunfu City, Guangdong 527300, China
Abstract:
[Abstract] Objective To study the effects of high flux dialysis on high blood pressure in patients with maintenance hemodialysis.Methods One hundred and twelve patients with maintenance hemodialysis were collected in our hospital from June 2014 to June 2016 and were randomly divided into two groups according to the admission order,with 56 cases in each group. The control group was given the treatment of low flux dialysis, and the observation group received high flux dialysis. The changes of blood pressure and the occurrence of adverse reactions were compared between the two groups before and after the treatment.Results After the treatment, the levels of SBP and DBP were significantly decreased than those before the treatment in both of the two groups(P<0.05). The levels of SBP and DBP in the observation group were significantly lower than those in the control group after the treatment(P<0.01). The incidence of adverse reactions in the observation group(5.36%) was significantly lower than that in the control group(16.07%)(P<0.05).Conclusion High flux dialysis is effective to control high blood pressure in the patients receiving maintenance hemodialysis.
Key words:  High flux dialysis  Maintenance hemodialysis  High blood pressure