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血液透析患者最佳血压水平控制的研究进展 被引量:5

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摘要 高血压是中风、冠心病和周围动脉疾病等心血管疾病强有力的预测指标。70%~80%的血液透析(hemodialysis,HD)患者存在透析前血压升高[1],其实在慢性肾脏病早期阶段高血压的发病率就已很高,研究显示肾小球滤过率低于60ml/(min·1.73m2)时血压较前已明显升高[2]。终末期肾病(end-stage renal disease,ESRD)早期患者,高血压是其肾功能损害和心血管并发症增加的主要风险因素。并且,透析中血流动力学变化也使心血管死亡率增加3倍[3]。除了年龄、
出处 《中国血液净化》 2012年第7期396-398,共3页 Chinese Journal of Blood Purification
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同被引文献43

  • 1叶飞,陈芳,邹冬梅,屈靖.高通量血液透析治疗慢性肾病患者的临床疗效观察[J].医学临床研究,2012,29(6). 被引量:7
  • 2王梅.血液透析患者血压控制的目标值及其措施[J].中国血液净化,2007,6(1):1-2. 被引量:16
  • 3王海燕主编.肾脏病学[M].第2版.北京:人民卫生出版社.2001,703-705
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  • 5Van Buren FH Inrig JK Hypertension and hemodialysis:pathophysiology and outcomes in adult and pediatricpopulations [J]. Pediatr Nephrol, 2012, 27 : 339-350.
  • 6Roberts MA, Pilmore HL, Tonkin 紙 et al. Challengesin blood pressure measur^nent in patients treated withmaintenance hemodialysis [j]. Am J Kidney Dis, 2012,60: 463-472.
  • 7Robles NR, Cancho B, Ruiz-Calero R, et al. Ni^ittimeblood pressure fall in renal disease patients[J]. RenFail, 2003, 25 : 829-837.
  • 8Staessen J,Bulpitt CJ, 0* Brien E,et al. The diurnalblood pressure profile. A population study [J]. Am J Hy-pertens,1992’ 5 : 386^392.
  • 9Hansen TW,Li Y,Boggia J, et al. Predictive role ofthe ni^ittime blood pressure [J]. Hypertension, 2011.57: 3-10.
  • 10Zager PG, Nikolic J, Brown RH, et al. “U” curve asscr-ciation of blood pressure and mortality in hemodialy-sis patients [J]. Kidney Int, 1998, 54 : 561-569.

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