| 含糖透析液对糖尿病肾病血液透析患者血压和心率变异性的影响 |
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| 引用本文： | 任迎,胡作祥,单薇,单彩娣.含糖透析液对糖尿病肾病血液透析患者血压和心率变异性的影响[J].中国现代医生,2011,0(25):31-33. |
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| 作者姓名： | 任迎 胡作祥 单薇 单彩娣 |
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| 作者单位： | 1. 中国医科大学绍兴医院肾内科,浙江绍兴,312030
2. 绍兴市人民医院肾内科,浙江绍兴,312000 |
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| 摘 要： | 目的研究含糖透析液对糖尿病肾病（DN）患者血液透析（HD）中血压和心率变异性（HRV）的影响。方法选取92例接受HD治疗的DN患者，按透析液是否含糖分为：研究组（含糖透析液）45例与对照组（不含糖透析液）47例。比较两组间在透析前、中、后收缩压（SP）、舒张压（DP）、平均血压（MBP）及血糖（GLU）水平的差异。HRV时域指标（低频谱、高频谱）与频域指标（SDNN、PNN50）的差异。结果与对照组相比，研究组透析前SP、DP、MBP及GLU无统计学意义（P〉0．05），但透析中、后SP、DP、MBP及GLU较高（P〈0．01）；研究组高频谱与PNN50无统计学意义（P〉0．05），而低频谱与SDNN降低（P〈0．01）。结论含糖透析液对DN患者HD中血压和HRV影响小，不过度激活交感神经。
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| 关 键 词： | 含糖透析液 糖尿病肾病 血液透析 心率变异性 |
The Influence of Blood Pressure and Heart Rate Variability in Diabetic Nephropathy Patients Received with Glucose Containing Dialysate |
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| Authors: | REN Ying HU Zuoxiang SHAN Wei SHAN Caidi |
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| Institution: | REN Ying1 HU Zuoxiang2 SHAN Wei1 SHAN Caidi1 1.Department of Renal Medicine,Shaoxing Hospital,China Medical University,Shaoxing 312030,China,2.Department of Renal Medicine,People's Hospital of Shaoxing,Shaoxing 312000 |
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| Abstract: | Objective To investigate the influence of glucose containing dialysate(GD) on incidences of blood pressure(BP)and heart rate variability(HRV)in diabetic nephropathy patients(DN).Methods A total of 92 hemodialysis patients with DN were divided into two groups,research group received with GD,45 cases,and control group received with non-GD 47 cases according to dialysis fluid content.The systolic pressure(SP),diastolic pressure(DP),mean blood pressure(MBP) and blood glucose(GLU)at pre-,mid-,pos-themodialysis s... |
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| Keywords: | Glucose containing dialysate Diabetic nephropathy Hemodialysis Heart rate variability |
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