透析低血压的相关因素

目的：探讨与透析低血压密度相关的临床因素。方法：总结了１９９５年４月至１９９７年５月我院维持性血液透析１１４例患者共６４３１次透析不同年龄、性别组透析低血压的发生率，分析了不同年龄与性别组超滤量与透析低血压发生率的关系；多因素逐步回归分析了透析低血压发生率与年龄、性别、血红蛋白、血浆白蛋白、ＫＴ／Ｖ、ＴＡＣ７ｕｒｅａ及透析膜的关系。结果：本组资料透析低血压发生率为７．０３％，其中青年组８．１９％、

Study on the clinical factors related to hemodialytic hypotension in patients with maintaining hemodialysis

Objective:To study the clinical factors related to hemodialytic hypotension in patients with maintaining hemodialysis. Methods:The association of ultrafiltration with the incidence of hypotension during hemodialysis were investigated in 114 uremic patients and total 6431 dialysis treatments. The effects of age, sex, plasma albumin hemoglobin, KT/V, TACurea and different dialysis membranes were also investigated. Results:The incidence of hemodialysis hypotension in our data was 7.03%. More ultrafiltration increased the intradialytic hypotensive risk, with a significant positive correlation. Multiple factors analysis showed that patients, who were old, female and dialyzed inadequately, were more prone to suffer from hypotensive episodes. Conclusion:To prevent hypotension during dialysis, patients should be counseled to limit their interdialysis weight gain and dialyzed adequately.