透析低血压的相关因素  

Study on the clinical factors related to hemodialytic hypotension in patients with maintaining hemodialysis

作　　者：蔡广研[1] 陈香美[1] 廖洪军[1] 黄晓云 

机构地区：[1]解放军总医院肾科,北京100853

出　　处：《军医进修学院学报》1999年第3期201-203,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的:探讨与透析低血压密切相关的临床因素。方法:总结了1995年4月至1997年5月我院维持性血液透析114例患者共6431次透析中不同年龄、性别组透析低血压的发生率,分析了不同年龄与性别组超滤量与透析低血压发生率的关系;多因素逐步回归分析了透析低血压发生率与年龄、性别、血红蛋白、血浆白蛋白、KT/V、TACurea及透析膜的关系。结果:本组资料透析低血压发生率为7.03%,其中青年组8.19%、中年组6.35%、老年组5.61%,男性5.48%、女性11.61%。透析低血压的发生率随着超滤量的增加而增加,两者存在明显的正相关。在相同超滤条件下,老年及女性易于发生低血压。老年、女性、及透析不充分是导致透析低血压的独立危险因素。Objective:To study the clinical factors related to hemodialytic hypotension in patients with maintaining hemodialysis. Methods:The association of ultrafiltration with the incidence of hypotension during hemodialysis were investigated in 114 uremic patients and total 6431 dialysis treatments. The effects of age, sex, plasma albumin hemoglobin, KT/V, TACurea and different dialysis membranes were also investigated. Results:The incidence of hemodialysis hypotension in our data was 7.03%. More ultrafiltration increased the intradialytic hypotensive risk, with a significant positive correlation. Multiple factors analysis showed that patients, who were old, female and dialyzed inadequately, were more prone to suffer from hypotensive episodes. Conclusion:To prevent hypotension during dialysis, patients should be counseled to limit their interdialysis weight gain and dialyzed adequately.

关 键 词：血液透析 低血压 超滤量 透析充分性 

分 类 号：R459.5[医药卫生—治疗学] R544.2[医药卫生—临床医学]