摘要
目的:探讨低温透析液对降低透析过程中低血压发生率的作用。方法:将25例长期维持血液透析的尿毒症患者随机分为A(35℃)组、B(36℃)组和C(37℃)组,分别用35℃、36℃、37℃的透析液进行血液透析,观察透析后血容量、收缩压、舒张压、平均动脉压的变化情况。结果:3组透析超滤量分别为(3.30±0.2)kg、(2.98±0.21)kg、(3.11±0.14)kg,差异无统计学意义(P>0.05)。3组患者透析后相对血容量呈下降趋势,但差异无统计学意义。低温透析(35℃、36℃)可降低低血压的发生率,与常温透析(37℃)相比差异有统计学意义(P<0.05)。35℃组和36℃组比较差异无统计学意义(P>0.05)。结论:采用低温透析能改善透析相关性低血压的发生。低温透析操作简便,安全可靠,值得推广应用。
Objective： To observe the relationship between the different temperature of dialysate and bloodpressure and investigate the occurrence reason of hypotension in dialysating. Methods： Twenty-five patients with uremia in long-term were divided randomly into 3 groups and dialyzing in 3 different temperature（35℃, 36℃ and 37℃）. Blood capacity systolic blood pressure, diastolic blood pressure and mean arterial pressure were recorded. Resualt： The Ultrafiltration quantity of 3 groups were （3. 30±0. 21） kg, （2.98±0.21） kgand （3. 11±0. 14） kg, respectively. There was no significant difference between three groups （P〉0. 05）. Low temperatare hemodialysis （LTH） can reduce the episodes of hypotension. There was significant difference compared with the normal temperature 37℃ group （P〈0.05）, no significant difference between the 35℃ and 36℃ group （P〉0.05）. Conclusion： LTH can reduce episodes of hypotension. It is easy to manipulate, safe and dependable, should be extended.
出处
《新疆医科大学学报》
CAS
2006年第7期600-601,共2页
Journal of Xinjiang Medical University
关键词
低温透析
低血压
超滤量
Low temperature hemodialysis （LTH）
hypotension in dialyzing
Ultrafiltration quantity
