| 血液透析病人血压控制与血容量变化之间的关系 |
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| 引用本文： | 吴杏,叶任高,陈国伟,汪涛,彭文兴,沈清瑞,吴培根,许元文.血液透析病人血压控制与血容量变化之间的关系[J].中国心血管杂志,2001,6(3):155-157. |
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| 作者姓名： | 吴杏 叶任高 陈国伟 汪涛 彭文兴 沈清瑞 吴培根 许元文 |
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| 作者单位： | 中山医科大学附属第一医院内科,广州,510080 |
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| 基金项目： | 卫生部临床学科重点项目基金(NO.97040228)、中山医科大学"211"工程(98151)和瑞典Karolinska Institute合作基金. |
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| 摘 要： | 目的 了解血液透析病人血压控制与血容量变化之间的关系。方法 根据JNC诊断标准将血液透析病人分为高血压组及正常血压或低血压组。用多频率生物阻抗分析仪(Xitron 4200)测定透析病人透析前后的血容量,并根据细胞外液容量(ECW)的变化将透析病人分为血容量减少较多及较少组,分别分析它们与血压控制的关系。结果 细胞外液容量(ECW)减少越多,血压控制越理想。结论 血液透析病人高血压的主要发生机制可能是血容量过多,血容量控制越好,血压控制越好。
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| 关 键 词： | 血液透析 血容量 血压 |
| 修稿时间： | 2000年12月11 |
The relation between blood volume changes and blood pressure control in hemodialysis patients |
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| Wu Xing,Ye Ren-gao,Chen Guowei,et al..The relation between blood volume changes and blood pressure control in hemodialysis patients[J].Chinese Journal of Cardiovascular Medicine,2001,6(3):155-157. |
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| Authors: | Wu Xing Ye Ren-gao Chen Guowei |
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| Institution: | Wu Xing,Ye Ren-gao,Chen Guowei,et al. Department of Internal Medicine,the First Affiliated Hospital,Sun Yat-sen University of Medical Sciences,Guangzhou 510080 |
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| Abstract: | Objective To investigate relationship of blood volume changes and blood pressure control in hemodialysis patients. Methods 73 patients were divided into high blood pressure (Bp) group and low/normal Bp group according to JNC standard. The patients' blood volume were measured by bioimpedance analysis(BIA, Xitron 4200) before and after hemodialysis. Then the patients were divided into two groups, one was ECW(extracellular water) reduced more and another was ECW reduced less. Their relationship of Bp were analyzed. Results The more ECW reduced, the better Bp controlled. Conclusion The main mechanism of high Bp of hemodialysis patients might due to excess fluid, the removal of them is necessary for the adequate Bp control. |
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| Keywords: | Hemodialysis Blood volume Blood pressure |
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