摘要
[目的]观察血液透析滤过(HDF)、血液透析(HD)对尿毒症难治性高血压病人的临床效果。[方法]将38例尿毒症难治性高血压病人随机分为HDF组和HD组,HDF组每周行1次HDF治疗、2次常规HD治疗;HD组每周3次常规HD治疗,两组每次治疗4h,共8周。比较两组病人治疗前后血压、尿素氮(BUN)及肌酐(Cr)的变化。[结果]两组病人经8周治疗后血压明显降低,与治疗前比较差异有统计学意义(P<0.01);但HDF组病人治疗后的血压与HD组治疗后比较下降更显著,差异有统计学意义(P<0.01);BUN及Cr均降低,治疗后两组比较差异无统计学意义(P>0.05)。[结论]尿毒症难治性高血压病人在常规HD治疗的同时定期进行HDF治疗能有效地降低血压。
Objective. To observe and compare clinical effects of hemodiafil tration （HDF） and hemodialysis （HD） of patients with refractory uremia induced hypertension accepting dialysis. Methods： A total of 38 refractory uremia induced hypertension patients accepting dialysis were divided into HDF group and HD group randomly. Patients of HDF group were given HDF treatment once and HD treatment twice a week. Patients of HD group were given HD treatment three times a week. Every time of treatment was lasted for 4 hours in both groups,totally lasted for 8 weeks. Then the changes of blood pressure, BUN and Cr of the two groups before and after treatment respectively were compared. Results： After eight - week treatment, blood pressure of all patients decreased obviously. There was statistical significance compared with that of before therapy （P〈0. 01）. However, blood pressure in HDF group decreased more significantly than that of HD group after treatment （P〈0.01）. Both BUN and Cr decreased. However, there was no statistical significant difference between both groups after treatment （P〉0. 05）. Conclusion： Regular HDF treatment for patients with refractory uremia induced hypertension accepting routine HD treatment can decrease their blood pressure remarkably.
出处
《全科护理》
2009年第11期941-942,共2页
Chinese General Practice Nursing
