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目的研究分析血液透析患者透析中低血压的危险因素。方法将自2014年8月至2016年8月期间在我院的接受血液透析发生低血压透析并发症的29例患者为研究对象(观察组),并取同期在我院进行血液透析为出现低血压症的29例患者为对照研究对象(对照组),对两组患者的多项资料采用相应统计学方式进行对比分析。结果观察组的体重指数、心血管疾病情况、高通量透析方式、高血流量、常规透析液、正常仰卧姿势统计内容比较对照组,P<0.05,均有统计学意义。结论血液透析患者透析中发生低血压的危险因素主要为患者体质瘦小、伴有的心血管疾病(高血压等)、采用高通量透析方式、透析中血流量过大、采用低钠透析液、透析时未采用低头位姿势等。值得在透析中加以重视并采取相应措施以降低低血压并发症的发生。
Objective To study and analyze the risk factors of hypotension during dialysis in hemodialysis patients. Methods Twenty-nine patients undergoing hemodialysis for hemodialysis from August 2014 to August 2016 in our hospital were enrolled in this study (observation group), and their hemodialysis in our hospital during the same period was low Twenty-nine patients with blood pressure were controlled subjects (control group). The data of two groups of patients were compared by corresponding statistical methods. Results The body mass index, cardiovascular disease, high-throughput dialysis, high blood flow, conventional dialysis fluid, normal supine posture statistics of the observation group compared with the control group, P <0.05, were statistically significant. Conclusion The main risk factors for hypotension during dialysis in hemodialysis patients are thin patients with cardiovascular disease (hypertension, etc.), high-throughput dialysis, excessive blood flow in dialysis, low sodium dialysate, Dialysis did not adopt bow posture and so on. It is worth to pay attention to dialysis and take appropriate measures to reduce the incidence of hypotensive complications.