维持性血液透析患者透析过程中的高血压管理

The Hypertension Management in Maintenance Hemodialysis Patients During Dialysis

高血压是维持性血液透析(MHD)患者中常见的心血管并发症,对患者生活质量及远期生存率均会造成影响。MHD高血压的发生可能与交感神经系统活化、容量负荷增加、血管内皮细胞功能障碍等因素密切相关,临床上可以通过药物及非药物治疗等方式来控制血压。现就MHD高血压患者的临床表现、发病机制、治疗方法等方面展开综述,以期为MHD高血压患者的治疗提供参考。

Hypertension is a common cardiovascular complication in patients with maintenance hemodialysis(MHD),which affects the quality of life and long-term survival.The occurrence of hypertension in MHD may be closely related to sympathetic nervous system activation,volume load increase,vascular endothelial cell dysfunction and other factors,drug and non-drug therapy can be used to control blood pressure in clinic.This article reviews the clinical manifestations,pathogenesis and treatment methods of MHD hypertension patients,thus providing a reference for the treatment of MHD hypertension patients.