可调钠超滤曲线在血液透析患者低血压预防中的作用

Role of Adjustable Aodium Ultrafiltration Curve in Hypotension Prevention in Hemodialysis Patients

目的:探究血液透析患者低血压预防中可调钠超滤曲线的作用及有效性。方法:选取2018年1月至2020年3月中山市小榄人民医院收治的血液透析患者120例,随机分成对照组和观察组,每组60例。对照组进行常规的血液透析,观察组进行可调钠超滤曲线透析。观察比较两组患者的透析血压水平变化情况,临床上血液透析效果以及透析脱水量。结果:观察组患者透析中2 h、透析结束时的收缩压、舒张压水平均高于对照组同时间,差异具有统计学意义(P<0.05);观察组患者的透析总有效率高于对照组,差异具有统计学意义(P<0.05);观察组患者的透析实际脱水量大于对照组,差异具有统计学意义(P<0.05)。结论:将可调钠超滤曲线模式应用于血液透析患者低血压预防中,能够有效调节患者的血压水平,从而扩充血容量,脱水情况得到改善。

Objective To explore the role and effectiveness of adjustable sodium ultrafiltration curve in the prevention of hypotension in hemodialysis patients.Methods From January 2018 to March 2020,a total of 120 hemodialysis patients admitted to Xiaolan People's Hospital of Zhongshan were randomly divided into control group and observation group,with 60 patients in each group.The control group received routine hemodialysis,and the observation group received adjustable sodium ultrafiltration curve dialysis.Observed and compared the changes of hemodialysis blood pressure level,clinical hemodialysis effect and dialysis dewatering volume between the two groups.Results Systolic pressure and diastolic pressure in the observation group at 2 h and the end of dialysis were higher than those in the control group at the same time,the differences were statistically significant(P<0.05).The total effective rate of dialysis in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The actual dewatering amount of dialysis of the observation group was greater than that of the control group(P<0.05).Conclusion The application of the adjustable sodium ultrafiltration curve model in the prevention of hypotension in hemodialysis patients can effectively regulate the blood pressure level of patients,thereby expanding blood volume,improve dehydration。