血液透析中症状性低血压的防治

目的：探讨盐酸米多君，复方氨基酸，50％葡萄糖治疗血液透析中症状性低血压的疗效。方法：回顾分析128例次治疗血液透析中症状性低血压的临床资料，总结盐酸米多君，复方氨基酸，50％葡萄糖这3种药不同用药时间对治疗症状性低血压的临床疗效。结果：在透前应用，有效率分别为：盐酸米多君77．3％，复方氨基酸83．3％，50％葡萄糖66．6％，3种药之间无显著差异；但盐酸米多君为口服剂片剂，应用时不依赖于其它科。在透析中出现症状后应用，有效率分别为：盐酸米多君8.3％，复方氨基酸71．4％，50％葡萄糖68．2％。盐酸米多君与另两种药相比有显著差异。结论：透析前应用以盐酸米多君为方便而有效；在透析中应用复方氨基酸与50％葡萄糖无显著差异，但远期效果以复方氨基酸为佳。

The Prevention and Treatment of the Low Blood Pressure of Condition in Hemodialysis

Objective:To discuss the effect of Midodrine hydrochioride tablets, Compound amino acid and 50% Glucose in the treat ment of low blood pressure in patients undergoing hemodialysis. Methods:Analyzed clinical data of the patients with the low blood pressure during the hemodialysis in 128 treatments, and compared the effect of midodrine hydrochloride tablets, compound amino acid. 50% glucose which were used at different time. Results: Applied before hemodialysis, the efficacy cvere 77.3%,83.3% and 66.6% in midodrine hydrochloride tablet group, compound amino acid group, and 50% glucose group, respectively. These three kinds of medicines did not show marked difference; but Midodrine Hydrochloride Tablets group was taked orally,It did not depend on the other section room.Applied during hemodialysis,the effect rate were 8.3%, 71.4%, 68.2% respectively in midodrine hydrochloride tablet group compound amino acid group, 50% glucose group. Compared with another two medicines, midodrine hydrochloride tablet showed marked difference. Conclusion:Applied before hemodialysis, midodrine hydrochloride tablet is convenient and effective. Applied during hemodialysis,It did not show marked difference with compound amino acid and 50% glucose,but for a long-term effect regarding compound amino acid is good.