左卡尼汀联合可调钠低温方法对透析相关性低血压的临床疗效观察  

The clinical effect of levocarnitine and adjustable sodium concentration at low temperature on hypotension during the process of dialysis

作　　者：熊培佳 

机构地区：[1]重庆医科大学附属第二医院,重庆市400010

出　　处：《当代护士（中旬刊）》2011年第10期1-3,共3页Modern Nurse

摘　　要：目的观察左卡尼汀联合可调钠低温透析模式对透析相关性低血压的临床疗效观察。方法对20例反复发生相关性低血压的维持性血液透析患者使用空白对照组、可调钠低温透析组、左卡尼汀组以及左卡尼汀联合可调钠低温透析模式组4种方法治疗,通过每组的前后对照研究,比较平均动脉压、低血压发生次数、超滤量。结果 3个治疗组患者透析平均动脉压显著高于空白对照组(P<0.01),联合治疗组低血压发生次数明显低于2个治疗组(P<0.05)。结论左卡尼汀联合可调钠低温透析可显著降低透析相关性低血压发生率,改善患者的生存质量,进一步提高透析疗效。Objective To discover the incidence of hypotension during the process of dialysis by using Levocamitine and adjustable sodium concentration at low temperature. Methods Took 4 different kind of dialytic models which were stable sodium concentration at normal temperature （control group） , adjustable sodium concentration at low temperature （therapy group）, injected Levocarnitine after stable sodium concentration dialysis at normal temperature（ therapy group ）, injected Levoearnitine ＂after adjustable sodium dialysis at low temperature（ therapy group） on 20 patients who usually suffered from hypotension during the process of dialysis. Compared mean arterial blood pressure ,the incidence of hypotension and the volume of ultrafiltration. Results The mean ＇arterial blood pressure of the later three therapy groups was significant higher than that of control group（ P 〈 0. 01 ）, and the incidence of hypotension in the model of injected Levocarnitine after adjustable sodium dialysis at low temperature was more than that of other two therapy groups （ P 〈 0.05）. Conclusion Injected Levocarnitine after adjustable sodium dialysis at low temperature can significandy decrease the incidence of hypotension during the dialysis , increase the therapeutic effect of dialysis, and at the same time improve the quality of life of patients.

关 键 词：可调钠血液透析 透析相关性低血压 低温 左卡尼汀 

分 类 号：R473.5[医药卫生—护理学]