不同钠浓度与超滤模式对透析患者低血压发生的影响  

Effects of different sodium concentrations and ultrafiltration modes on hypotension in dialysis patients

作　　者：韩宇 HAN Yu(Beizhen People’s Hospital,Jinzhou 121300,China)

机构地区：[1]辽宁省锦州市北镇市人民医院,121300

出　　处：《中国实用医药》2021年第32期60-62,共3页China Practical Medicine

摘　　要：目的分析不同钠浓度与超滤模式对透析患者低血压发生的影响。方法120例透析患者,随机分为A组、B组和C组,每组40例。A组患者采用常规透析模式,B组患者采用超滤模式及对应的钠模式,C组患者采用超滤模式和0钠模式。比较三组患者的低血压及低血压相关症状的发生率。结果A组患者的低血压、恶心呕吐、头晕头痛、肌肉痉挛、虚脱发生率分别为60.00%、40.00%、40.00%、44.50%、15.00%,显著高于B组的15.00%、5.00%、7.50%、5.50%、4.00%和C组的12.50%、4.00%、9.00%、5.00%、4.00%,差异有统计学意义(P<0.05)。B组低血压、恶心呕吐、头晕头痛、肌肉痉挛、虚脱发生率与C组比较,差异无统计学意义(P>0.05)。结论启用超滤阶梯式下降模式实施超滤透析对血压的影响最小。Objective To analyze the effects of different sodium concentrations and ultrafiltration modes on hypotension in dialysis patients.Methods A total of 120 cases of dialysis patients were randomly divided into group A,group B and group C,with 40 patients in each group.Patients in group A used conventional dialysis mode,patients in group B used ultrafiltration mode and the corresponding sodium mode,and patients in group C used ultrafiltration mode and 0 sodium mode.The incidence of hypotension and hypotension-related symptoms were compared among the three groups.Results The incidence of hypotension,nausea and vomiting,dizziness and headache,muscle cramps,and collapse in group A were 60.00%,40.00%,40.00%,44.50%,and 15.00%,respectively,which was significantly higher than those of group B(15.00%,5.00%,7.50%,5.50%,and 4.00%)and group C(12.50%,4.00%,9.00%,5.00%,and 4.00%),and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of hypotension,nausea and vomiting,dizziness and headache,muscle cramps,and collapse in group B compared with those of group C(P>0.05).Conclusion The stepwise descent mode of ultrafiltration for dialysis has the least effect on blood pressure.

关 键 词：钠浓度 超滤模式 透析 低血压 影响 

分 类 号：R692.5[医药卫生—泌尿科学]