容量管理对控制腹膜透析患者血压的效果观察  

Observation on the effectiveness of control of volume capacity on blood pressure of patients with peritoneal dialysis.

作　　者：曾伟娴[1] 石咏军[1] 曾菊兰[1] 黎秀娟[1] 刘冠贤[1] 

机构地区：[1]惠州市中心人民医院,广东惠州516001

出　　处：《齐鲁护理杂志》2006年第03A期403-404,共2页Journal of Qilu Nursing

摘　　要：目的:探讨容量管理对腹膜透析患者血压的影响。方法:选择在我院行腹膜透析治疗的患者48例,采用个别指导和集体教育的形式,指导患者严格控制水盐摄入,保持体液平衡,对患者的血压、体重、水肿等情况进行评估、记录,追踪观察6个月。结果:容量管理后患者高血压发生率由74.4%下降为41.6%,体重由平均62.28±10.1kg下降为60.16±9.22kg,水肿发生率由68.4%下降为14.3%,中重度水肿患者明显减少(P<0.05),患者一般情况明显改善。结论:对腹膜透析患者实行长期的容量管理,可有效降低患者高血压的发生率。Objective ： To explore the effect of control of volume capacity on blood pressure of patients with peritoneal dialysis. Methods： 48 patients who would receive peritoneal dialysis were selected to be given individual instruction and group education so that they knew how to control intaking of water and salts and keep balance of body fluid. Their blood pressure, weight, and edema were recorded and evaluated for six - month follow - up. Results： The incidence of blood pressure of patients was reduced from 74.4% to 41.6%, weight averagely from 62.28 ± 10.1kg to 60.16 ±9.22kg and incidence of edema was reduced from 62.4% to 16.3%. Patients suffering from moderate and severe edema were decreased （ P 〈 0. 05）. The patient＇s condition was improved obviously. Conclusion： Long - term control of volume capacity for patients with peritoneal dialysis can effectively reduce the incidence of hypertension.

关 键 词：腹膜透析 容量 管理 血压 

分 类 号：R473.5[医药卫生—护理学]