高通量血液透析和低通量血液透析不同模式对老年维持性血液透析患者血压的影响

目的观察高通量血液透析(HFHD)与低通量血液透析(LFHD)的不同模式运用到老年患者维持性血液透析(MHD)中对其血压的影响。方法选择2015年2月-2017年10月本院治疗的MHD老年患者74例,先为其施LFHD 3个月,再为其辅以3个月的HFHD,3次/周,4 h/次,对比不同透析模式对患者血压的影响。结果实施HFHD后患者的平均动脉压(MAP)有所降低,在第3 h与第4 h透析后,血压把控优于LFHD(P<0.05)。结论对于MHD老年患者来说,实施HFHD是优良的透析方法。

Effects of different modes of high-flux hemodialysis (HFHD) and low-flux hemodialysis (LFHD) on blood pressure during dialysis in elderly maintenance hemodialysis patients

Objective To observe the effects of different modes of high-flux hemodialysis (HFHD) and low-flux hemodialysis (LFHD) on blood pressure during dialysis in elderly maintenance hemodialysis (MHD) patients. Methods A total of 74 MHD elderly patients were selected in a hospital from February 2015 to October 2017 to receive the treatment, and at the first, they received LFHD for 3 months, and then received HFHD for 3 months, 4 hours per time and 3 times a week. The blood pressure of the patients were measured. Results While receiving HFHD, the mean arterial pressure (MAP) reduced in the patients, 3 hours and 4 hours after dialysis, the blood pressure control was better than that whilereceiving LFHD (P<0.05). Conclusion For MHD elderly patients, HFHD is a fine hemodialysis method.