| 含糖透析液对糖尿病透析患者透析低血糖和低血压的影响 |
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| 引用本文： | 周凡力,邹贵勉,车文体,王俊,蒋玉红,廖琪.含糖透析液对糖尿病透析患者透析低血糖和低血压的影响[J].中国血液净化,2010,9(2):91-93. |
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| 作者姓名： | 周凡力 邹贵勉 车文体 王俊 蒋玉红 廖琪 |
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| 作者单位： | 1. 广西桂林市人民医院肾内科,桂林,541002
2. 解放军第181医院肾内科,桂林,541002 |
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| 摘 要： | 目的探讨含糖透析液对糖尿病透析患者发生透析低血糖和低血压的影响,及其代谢指标的变化。方法对17例维持透析的糖尿病患者进行自身对照试验,前2月使用无糖透析液,后2月换成含糖5.5mmol/L的透析液,比较前后患者透析低血糖和低血压的发生率,以及代谢指标的变化。结果使用无糖透析液时,患者发生透析低血糖和低血压分别为7.6%和18.3%;使用含糖透析液后,患者发生透析低血糖和低血压明显下降,分别为1%和10.7%,P0.01和P0.05。而糖化血红蛋白和血脂等代谢指标则无明显变化,P0.05。结论在糖尿病肾病的透析患者使用含糖透析液,有利于防止透析低血糖和低血压,而对患者代谢相关指标无明显影响。
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| 关 键 词： | 透析液 透析低血糖 透析低血压 糖尿病肾病 |
Influence of glucose-added dialysate on intradialytic hypoglycemia and hypotension in hemodialysis patients with diabetic nephropathy |
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| ZHOU Fan-li,ZOU Gui-mian,Che Wen-ti,WANG Jun,JIANG Yu-hong,LIAO Qi.Influence of glucose-added dialysate on intradialytic hypoglycemia and hypotension in hemodialysis patients with diabetic nephropathy[J].Chinese Journal of Blood Purification,2010,9(2):91-93. |
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| Authors: | ZHOU Fan-li ZOU Gui-mian Che Wen-ti WANG Jun JIANG Yu-hong LIAO Qi |
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| Institution: | ZHOU Fan-li1,ZOU Gui-mian2,Che Wen-ti2,WANG Jun1,JIANG Yu-hong2,LIAO Qi2.1Department of Nephrology,People\'s Hospital of Guilin City,Guilin 541002,China,2Department of Nephrology,No.181 Hospital of PLA |
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| Abstract: | Objective To explore the influence of glucose-added dialysate on incidences of intradialytic hypoglycemia and hypotension and on metabolic parameters in hemodialysis patients with diabetic nephropathy.Methods Self-control study was conducted in 17 patients with diabetic nephropathy on hemodialysis.The patients were dialyzed with glucose-free dialysate for a period of 2 months,and then were changed to glucose-added dialysate for another period of 2 months.The incidences of intradialytic hypoglycemia and hypo... |
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| Keywords: | Dialysate Intradialytic hypoglycemia Intradialytic hypotension Diabetic nephropathy |
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