护理学报2009，Vol.16Issue(14)：4-6,3.
维持性血液透析患者个体化透析液钠离子浓度效果观察
Observation of Clinical Effects of Individualized Sodium Concentration Dialysate on Maintenance Hemodialysis Patients
叶锡兰 1符霞 1邱碧辉 1宁志芳 1夏运风 1梁馨苓1
作者信息
- 1. 广东省人民医院,广东省医学科学院,肾内科血液净化中心,广东,广州,510080
- 折叠
摘要
Abstract
Objective To explore the influence of individualized sodium concentration dialysate on the incidence of common clinical indexes and adverse reactions in maintenance hemodialysis patients.Methods 100 maintenance hemodialysis patients were included as the subjects for this study.First,they were offered an 8-week conventional hemodialysis with the sodium concentration being 140 mmol/L.Then in the second stage,they were given an 8-week hemodialysis with individualized sodium concentration in light of the specific condition of the disease.Comparisons were made of the changes in the patients'blood pressure,body mass,hematocrit,serum creatinine,serum urea nitrogen and Kt/V,and the incidences of adverse reactions during the hemodialysis at the end of the two stages.Results There was no statistically significant difference in clinical indexes between the two stages.But the incidence rates of hypertension and hypotension during the second stage were distinctly lower(P<0.05),while the difference in the incidence rate of other adverse reactions such as hypoglycemia,muscle jerk,arrhythmia,heart failure and dialysis dysequilibrium had no statistical significance.Conclusion Individualized sodium concentration dialysis Can effectively lower the incidence rate of adverse reactions among maintenance hemodialysis patients,having a good effect of stabilizing the blood pressure during the dialysis.关键词
血液透析/钠离子浓度/个体化/不良反应Key words
dialysis/sodium concentration/individualized/adverse reactions分类
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叶锡兰,符霞,邱碧辉,宁志芳,夏运风,梁馨苓..维持性血液透析患者个体化透析液钠离子浓度效果观察[J].护理学报,2009,16(14):4-6,3.
