摘要
目的:探讨分析对合并顽固性高血压的维持性血液透析患者进行血滤治疗的临床效果。方法 :选取2013年1月~2014年1月间我院收治的合并顽固性高血压的维持性血液透析患者60例作为研究对象,采用随机数表法将其分为血透组(30例)和血滤组(30例),为血透组患者进行血液透析治疗,为血滤组患者在进行血液透析治疗的基础上进行血滤治疗,观察对比治疗前后两组患者收缩压及舒张压的变化,并将对比的结果及两组患者的临床资料进行回顾性的分析。结果 :在治疗前,HD组患者的收缩压为(198.06±7.56)mm Hg,舒张压为(110.51±18.06)mm Hg,HDF组患者的收缩压为(195.89±7.02)mm Hg,舒张压为(108.15±15.54)mm Hg,两组患者在收缩压和舒张压之间的差异均不显著(P>0.05),不具有统计学意义。经过一段时间的治疗,HD组患者的收缩压为(195.36±15.24)mm Hg,舒张压为(105.78±10.45)mm Hg,HDF组患者的收缩压为(132.34±5.23)mm Hg,舒张压为(88.43±9.56)mm Hg,HD组患者的收缩压和舒张压较治疗前相比无明显变化,而HDF组患者的收缩压和舒张压较治疗前相比有明显的下降,差异显著(P<0.05),具有统计学意义。结论 :对合并顽固性高血压的维持性血液透析患者进行血滤治疗的临床效果显著,值得在临床上推广应用。
objective: for the treatment of hemodialysis filtration maintenance hemodialysis clinical effect observation of resistant hypertension.Methods: from January 2013 to January 2013, our hospital of 60 patients with maintenance hemodialysis were as the research object, divided into hemodialysis(HD) and blood dialysis filter filtration(HDF) group, all patients were resistant hypertension patients, all patients dialysis machine adopts Fresenius 4008 s type, delong- 16 p type B dialyser, using bicarbonate dialysate, compared two groups of patients in the change of systolic pressure, diastolic blood pressure before and after the treatment. Results: two groups before treatment in patients with systolic blood pressure and diastolic blood pressure, there was no statistically significant difference(P > 0.05). After 3 months of treatment, two groups of patients with systolic blood pressure and diastolic blood pressure were significantly decreased, compared with before treatment, the difference had statistical significance(P < 0.05). Conclusion: hemodialysis filtration maintenance hemodialysis treatment resistant hypertension has good clinical effect, has clinical value, worth widely used in clinical treatment of resistant hypertension.
