| 含糖透析液减少维持性血液透析患者低血压发生 |
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| 引用本文： | 李莉,丁嘉祥,张东亮,崔文英,刘文虎.含糖透析液减少维持性血液透析患者低血压发生[J].临床和实验医学杂志,2011,10(19):1511-1512. |
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| 作者姓名： | 李莉 丁嘉祥 张东亮 崔文英 刘文虎 |
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| 作者单位： | 首都医科大学附属北京友谊医院中心透析室,北京,100050 |
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| 摘 要： | 目的探讨含糖透析液是否可以减少维持性血液透析患者低血压的发生。方法选取长期透析伴低血压患者25例。前4周采用常规无糖透析液透析,后4周采用含糖透析液含糖桶装无菌透析液(5.5 mmol/L)]。检测使用含糖透析液前后血压,血糖,干体重,食欲等变化,低血压发生次数。结果使用含糖透析液治疗1个月后低血压的发生率从117次降低至77次。每例患者平均发生低血压次数明显减少(P<0.01)。使用无糖透析液,透析后有6例患者发生低血糖;而使用含糖透析液后无低血糖发生。结论含糖透析液能够减少在维持性血液透析中低血压的发生。对于透析中血压波动大的患者使用含糖透析液可以稳定血压,其作用机制有待进一步研究。
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| 关 键 词： | 血液透析 含糖透析液 低血压 |
Study on the significance of dialysate containing glucose in preventing the occurrence of hypotension in patients with maintenance haemodialysis |
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| LI li,DING Jia-xiang,ZHANG Dong-liang,CUI Wen-ying,LIU Wen-hu.Study on the significance of dialysate containing glucose in preventing the occurrence of hypotension in patients with maintenance haemodialysis[J].Journal of Clinical and Experimental Medicine,2011,10(19):1511-1512. |
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| Authors: | LI li DING Jia-xiang ZHANG Dong-liang CUI Wen-ying LIU Wen-hu |
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| Institution: | LI li,DING Jia-xiang*,ZHANG Dong-liang,CUI Wen-ying,LIU Wen-hu#.Hemodialysis Unit,Beijng Friendship Hospital,Capital Medical University,Beijing 100050,China |
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| Abstract: | Objective To study the significance of dialysate containing glucose in preventing the occurrence of hypotension during maintenance haemodialysis.Methods Twenty five patients with hypotension during long term haemodialysis in this centre were selected for study.They were treated with glucose-free dialysate for 4 weeks,and haemodialysis with glucose dialysate for subsequent 4 weeks.Their data of blood pressure,dry weight and blood level of glucose were recorded.Results The incidence of hypotension had been de... |
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| Keywords: | Haemodialysis Glucose dialysate Hypotension |
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