360例慢性血液透析人群高血压的调查分析  

A survey of hypertension in ambulatory hemodialysis patients——Clinical analysis of 360 cases

作　　者：陈湛华[1] 翟翠球[1] 郑绮宜[1] 尹良红[1] 毛晓玲[1] 

机构地区：[1]暨南大学医学院第一附属医院肾内科,广东广州510630

出　　处：《暨南大学学报（自然科学与医学版）》2001年第2期52-54,共3页Journal of Jinan University(Natural Science & Medicine Edition)

摘　　要：目的 :了解慢性血液透析 (血透 )人群高血压现状 ,评估透析过程超滤脱水对血压的影响。方法 :回顾分析 36 0例慢性血透病人临床资料 ,观察 3个月每个病人透析前后体重变化与血压变化的关系。结果 :36 0例中有 2 78例 (77 2 % )发生高血压 ,主要表现为透析前收缩压升高 ,透析过程体重的减轻与收缩压的降低相关联 (r=0 .6 3,P <0 0 0 1)。结论 :慢性血透人群多数并发高血压 ,主要是透析前收缩压升高 ,透析过程适当的超滤脱水对控制血压是有益的。Aim: The current study is to study hypertension in ambulatory hemodialysis patients and to evalute the influence of ultrafiltration on the blood pressure during dialysis. Methords: The clinical data of 360 ambulatory hemodialysis patients were analyzed respectively. For each patient, the changes of body weight and blood pressure were observed for 3 months.Results: In 360 patients, 278 had hypertension. Most of them had elevation of systolic blood pressure before dialysis. The reduction of body weight was correlated with the decrease in systolic blood preussre( r=0.63 , P <0.001). Conclusion:Hypertension was a frequent finding in ambulatory hemodialysis patients, most of them were elevation of systolic blood pressure before dialysis. Appropriated ultrafiltration during dialysis is of benefit to the adequated control of hypertension.

关 键 词：血液透析 高血压 超滤脱水 并发症 收缩压 

分 类 号：R544.1[医药卫生—心血管疾病]