序贯超滤曲线预防糖尿病肾病病人透析相关性低血压发生的效果观察被引量：7

Observation of Effects of Sequential Ultrafiltration Curve on Prevention of Incidence of Hemodialysis-related Hypotension among Diabetic Nephrotic Patients

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摘要目的探讨序贯超滤曲线预防糖尿病肾病病人血液透析相关性低血压发生的效果。方法32例糖尿病肾病血液透析病人采用单盲法自身对照。分别应用序贯超滤曲线和直线超滤治疗2周,对比两种方法透析中低血压的发生率。结果序贯超滤曲线组低血压发生率明显低于直线超滤组,差异有统计学意义(P<0.01)。结论对糖尿病肾病血液透析病人采用序贯超滤曲线比直线超滤更能有效预防透析相关性低血压发生,同时应在超滤期密切观察血压变化,能及时发现低血压,及时处理,更加科学有效地为病人实施个性化透析。

作者王琳梁少媚

机构地区中山大学附属中山医院血液净化中心

出处《护理学报》 2009年第8期31-32,共2页 Journal of Nursing（China）

关键词糖尿病肾病血液透析低血压序贯超滤曲线

分类号 R587.2 [医药卫生—内分泌] R459.5 [医药卫生—治疗学]

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1马宇茗,马志芳,向晶,吴明歌.糖尿病肾病患者血透过程中血压变化特点及护理对策[J].现代护理,2008,14(3):291-293. 被引量：18
2Mogensen C E. Natural History of Renal Functional Abnormalities in Human Diabetes Mellitus; from Normallouminuria to Incipient and Overt Nephropatby[M]//The Kidney in Diabetes Mellitus. New york : Livingstone : 1989 : 19-49.
3唐朝晖,曾海凤,尹虹.老年糖尿病肾病患者维持血液透析低血压的观察及护理[J].现代医药卫生,2006,22(1):83-84. 被引量：2
4林丽华,黄英伟,肖观清.不同透析方法预防血液透析中低血压反应的效果观察[J].南方护理学报,2004,11(8):1-2. 被引量：12
5翟林云,张小梅.透析低血压与非透析低血压血容量状况的分析[J].中国血液净化,2004,3(9):481-483. 被引量：18
6朱月文,周奕菁.糖尿病肾病透析性低血压相关因素分析[J].中国中西医结合肾病杂志,2006,7(1):32-33. 被引量：4

二级参考文献32

1丁可梅.11例422次低温透析对减少症状性低血压的护理体会[J].实用护理杂志,1994,10(7):3-4. 被引量：27
2叶朝阳,梅长林,赵学智.实用透析手册[M].北京:人民卫生出版社,2003.147.
3王海燕.肾脏病学·第2版[M].北京:人民卫生出版社,1995.949.
4Kimmel PL, Varela MP, Peterson RA, et al. Interdialytic weight gain and survival in hemodialysis patients: effects of duration of ESRD and diabetes mellitus. Kidney Int, 2000,57(3) : 141.
5Morioka T,Emoto M,Tabara T, et al. Glycernic control is a prediction of diabetic patients on hemodialysis. Diabetes Care, 2001,24(5) :909.
6[1]Steuer RR, Sleuer MD, Harris DH, et al. A new optical technique for monitoring hematocritand circulating blood valume: Its application in renal dialysis. Dialysis and transplantation, 1993, 22(5): 260 - 265
7[2]KoomanJP, GladziwaU, BookerG, etal. Role of the venous system in hemodynamics during ultrafiltration and bicarbonate dialysis. Kidney Int,1992, 42:718-726
8[3]Miyra S, Chamney P, Greenwood R, et al. Linear decay of relative blood volume during ultrafiltration predicts hemodynamic instability. Am J Kidney Dis,2002,40:556- 565
9[4]Esforzado N, Cases A, Bono M, et al. Autonormic nerverous system and adrenegic receptors in chronic hypotensive hemdialysis patients.Nephrol Dial Transplant, 1997,12:939- 942
10[5]Poldennans D, Man in't Veld AT, Rambald, etal. Cardiac evaluation in hypotension- prone and hypotension - resisten hemodialysis patients.Kidney Int, 1999,56:1905 - 1907