低温透析;_低血压;_超滤量_____低温透析;

低温透析对改善透析过程中低血压发生的作用

http://www.100md.com 《新疆医科大学学报》 2006年第7期

低温透析;,低血压;,超滤量,,低温透析;,低血压;,超滤量,摘要,关键词,1资料与方法,2结果,3讨论,参考文献

     摘要: 目的：探讨低温透析液对降低透析过程中低血压发生率的作用。方法：将25 例长期维持血液透析的尿毒症患者随机分为A(35℃)组、B(36℃)组和C(37℃)组，分别用35℃、36℃、37℃的透析液进行血液透析，观察透析后血容量、收缩压、舒张压、平均动脉压的变化情况。结果：3组透析超滤量分别为(3.30±0.2) kg、(2.98±0.21) kg、(3.11±0.14) kg , 差异无统计学意义(P>0.05) 。3组患者透析后相对血容量呈下降趋势，但差异无统计学意义。低温透析(35℃、36℃)可降低低血压的发生率，与常温透析(37℃)相比差异有统计学意义(P<0.05)。35℃组和36℃组比较差异无统计学意义(P>0.05)。结论：采用低温透析能改善透析相关性低血压的发生。低温透析操作简便, 安全可靠, 值得推广应用。

     关键词: 低温透析; 低血压; 超滤量

    The investigation for relationship between the temperature of dialysate and bloodpressure

    LI Jiang, WANG Lei, XU Min

    (Department of Internal Medicine, Second Affiliated Hospital, Xinjiang Medical University,Urumqi 830028, China)

    Abstract: Objective: To observe the relationship between the different temperature of dialysate and bloodpressure and investigate the occurrence reason of hypotension in dialysating. Methods: Twentyfive patients with uremia in longterm were divided randomly into 3 groups and dialyzing in 3 different temperature(35℃, 36℃ and 37℃). Blood capacity systolic blood pressure, diastolic blood pressure and mean arterial pressure were recorded. Resualt: The Ultrafiltration quantity of 3 groups were (3.30±0.21) kg, (2.98±0.21) kg and (3.11±0.14) kg, respectively. There was no significant difference between three groups (P>0.05). Low temperatare hemodialysis (LTH) can reduce the episodes of hypotension. There was significant difference compared with the normal temperature 37℃ group (P<0.05), no significant difference between the 35℃ and 36℃ group (P>0.05). Conclusion: LTH can reduce episodes of hypotension. It is easy to manipulate,safe and dependable, should be extended. ......

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