每日透析滤过治疗尿毒症难治性高血压的疗效观察

目的 观察费森尤斯4008ARrTplus治疗模式下延时每日透析滤过治疗尿毒症并发难治性高血压患者的临床疗效.方法 回顾性分析15例尿毒症并发难治性高血压患者经延时每日透析滤过治疗后血压控制情况及治疗前、后血甲状旁腺激素水平、体重改变.结果 15例患者经过延时每日透析滤过治疗后收缩压、舒张压、平均动脉压、血甲状旁腺激素...

Therapeutic effect of extended daily dialysis-filtration in the treatment of refractory hypertension of uremia patients in the ARrTplus model

Objective To observe therapeutic effect of extended daily dialysis-Filtration(EDD-f) in the treatment of refractory hypertension(RH) of uremia patients in the ARrTplus model. Methods We retrospectively analyzed blood pressure, para-thormone and body weight of the 15 uremia patients with refractory hypertension be-fore as well as after the treament of EDD-f. Result The systolic blood pressure(SBP),diastolic blood pressure(DBP) ,mean arterial pressure(MAP), parathormone, body weight and the number of antihypertensive drugs of the patients decreased signi-ficantly after treatment. These differences were statistically significant( P ＜ 0. 05). Conclusion The causes of refractory hypertension of uremia patients are related with volume overload, hyperactivity of renin-angiotensin system and Secondary hyper-parathyroidism.The extended daily dialysis-filtration in the ARrTplus model is the effective method in the control of refractory hypertension of uremia patients.