低温可调钠透析模式对老年患者血液透析中低血压的影响

The effect of the low temperature and controllable sodium dialysis to hypopiesia of older patients in dialysis

目的探讨低温可调钠透析模式对老年患者血液透析中低血压的影响。方法选择行规律性血液透析连续4次透析中出现低血压反应≥2次的老年患者10例，采用自身对照的方法，每例患者分别接受标准透析、低温可调钠透析，每种模式为期4周，透析次数均为12次。监测透析前后体温、心率、血压，透析过程中每30min监测患者血压、心率1次，并记录低血压发生次数、伴随症状及所需的护理干预。结果低温可调钠透析组低血压的发生率及护理干预次数显著低于标准透析组（P〈0．01），低温可调钠透析组透析中及透析后收缩压、舒张压显著高于标准透析组（P〈0．05）。结论低温可调钠透析可有效地减少透析中低血压的发生，提高老年患者对透析的耐受性，是一种安全有效的治疗方法。

Objective To study the effect of the low temperature and controllable sodium dialysis to hypopiesia of older patients in dialysis. Methods A tatol of 10 older patient who had more than two hypopiesia in continuous 4 dialysis were selected, and the own control was used. The low temperature and controllable sodium dialysis or the standard dialysis were used for each patient, and the number of times for dialysis was 12, and the time for each model was 4 weeks. The temperature, heart rate and blood pressure were monitored before and after dialysis, and the number of times for hypopiesia and intervention of nurse were recorded. Resulls The ratio of hypopiesia and the number of times for intervention of nurse in low temperature and controllable sodium dialysis group were lower （ P 〈0. 01 ）, and the systolic pressure and diastolic pressure in low temperature and controllable sodium dialysis group were higher among or after dialysis （ P 〈 0. 05 ） Conclusions The ratio of hypopiesia is controlled effectively, and the toleration to dialysis is raised by the low temperature and controllable sodium dialysis, so the low temperature and controllable sodium dialysis is a safe and effective method.