不同钠浓度透析模式对血液透析患者急性并发症的影响

The effect study on choosing different concentrations of sodium dialysis mode on the acute complicationson

目的观察3种不同钠离子浓度的透析模式对血液透析(HD)患者低血压(IDH)、肌肉痉挛等急性并发症的影响。方法选择既往HD中反复发生IDH的患者30例,采用随机单盲自身对照设计,每位患者分别接受常规透析(A组)、低温可调钠+超滤曲线(UP1)(B组)、低温高钠(C组)模式,各进行HD10例次。观察透析中IDH及肌肉痉挛症状出现的次数和护理干预次数。结果 B组和C组急性并发症发生率和护理干预发生率明显少于A组,差异有统计学意义(P<0.01)。结论低温高钠透析模式可有效地降低透析中急性并发症的发生率,而高钠透析更可增加患者透析耐受性。

Objective To observed dialysis mode of three different patterns of sodium ion to impact of hemodialysis （HD） patients with hypotension （IDH）, muscle cramps and other acute complications. Methods 30 HD recurrent IDH pa- tients used self-controlled randomized single-blind design, each patient respectively received conventional dialysis（ A Group）, low sodium ＋ UF curves （ UP1 ） （ B Group）, low high-sodium （ C group） mode, all for HD 10 case-times. And observed symptoms of patients with muscle spasm frequency and the number of nursing intervention. Results Acute complication rate and the nursing intervention rate in B group and C group were significantly less than those of A group, the difference were significant （P 〈 0.01 ）. Conclusion Low temperature and high sodium dialysis can effectively reduce rate of the occurrence of acute complications. The high-sodium dialysis can increase tolerance of the patients.