可调钠联合可调超滤率透析防止低血压的观察被引量：1

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摘要目的探讨可调钠联合可调超滤率透析对防止透析中低血压的影响。方法使用德国产费森尤斯4008(Fresenius 4008)系列透析机机内提供的NA-3、UF-3程序,41例血液透析患者分别常规透析(对照组),及可调钠联合可调超滤率透析(治疗组),统计两组治疗例次及低血压发生例次。结果常规透析(对照组)平均低血压发生率21.69%;可调钠联合可调超滤率透析(治疗组)低血压发生率6.47%。治疗组低血压发生率低于常规透析(P<0.01)。结论可调钠联合可调超滤率透析对防止透析中低血压有较为明显的效果,不需另增加设备成本,优于单纯可调钠透析或单纯可调超滤透析,值得基层医院尝试推广。

作者容开萍

机构地区江西中医学院第二附属医院

出处《江西医药》 CAS 2010年第12期1217-1218,共2页 Jiangxi Medical Journal

关键词可调钠透析低血压血液透析自主神经病变

分类号 R459.5 [医药卫生—治疗学]

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参考文献5

1倪兆慧.血液透析相关低血压的防治[J].中华肾脏病杂志,2007,23(8):489-491. 被引量：20
2郭黎莉,金惠敏,陈敏,陈明娟,毛燕军,许维燕,梁国英,李文婕.不同透析方法对透析中低血压的预防作用[J].中国血液净化,2003,2(4):189-191. 被引量：37
3刘虹,刘伏友,彭佑铭,朱健玲,李军,陈星.可调钠血液透析对透析低血压的预防作用[J].中国血液净化,2002,1(8):21-23. 被引量：122
4刘蔓莉,龚蓉,王平,曹泽蓉.血液透析中发生血压异常的情况分析[J].中国血液净化,2003,2(12):654-655. 被引量：8
5王湄川,刘沧桑.血液透析中防止低血压的探索[J].中国血液净化,2004,3(11):602-604. 被引量：38

二级参考文献24

1[1]Orofino L, Marcen R, Quereda C. Epidemiology of symptomatic hypotension in hemodialysis: Is cool dialysate beneficial for all patients? Am J Nephrol,1990,10: 177-180
2[2]Sadowski RH, Allred E, Jabs K. Sodium modeling ameliorates dialytic and interdialytic symptoms in young hemodialysis patients. J Am Soc Nephrol,1993,4:1192-1198
3[3]Raja RM, Po CL. Plasma refilling during hemodialysis with decreasing ultrafiltration, influence of dialysate sodium. ASAIO J,1994,40:M423-M425
4[4]Jost CM, Agarwai R, Khair-El-Din J, et al. Effects of cooler temperature dialysate on hemodynamic stability in "problem" dialysis patients. Kidney Int,1993,44: 606-612
5[5]Sherman RA, Rubin MP, Cody RP, et al. Amelioration of hemodialysis-associated hypotension by the use of cool dialysate. Am J Kidney Dis,1985,5: 124-127
6[6]Henrich WL, Woodard TD, Blachley JD, et al. Role of osmolality in blood pressure pressure stability after dialysis and ultrafiltration. Kidney Int, 1980,18:480-488
7[7]Karnik JA, Young BS, Lew NL, et al. Cardiac arrest and sudden death in dialysis units. Kidney Int,2001,60: 350-357
8[8]Beasley D, Brenner BM. Role of nitric oxide in hemodialysis hypotension. Kidney Int,1992,42 (Suppl38): s96-s100
9[2]Tedner B,Zetterholm UB,Ljungquist O.Blood pressure reduction during hemodialysis correlates to intradialytix changes in plasma volume.Clin Nephrol,1992,37:308
10[6]王海燕主编.肾脏病学.第2版.北京:人民出版社,1998,1534