论文部分内容阅读
[目的]探讨不同透析模式联合低分子肝素对终末期肾病(ESRD)患者血流动力学及脑出血发生的影响.[方法]根据采用透析模式的不同,将96例ESRD患者分为间歇性透析组(A组)和连续性透析组(B组),每组48例.比较两组的心脏功能、血流动力学指标及相关因子变化和治疗期间的不良事件发生情况.[结果]治疗3个月后两组患者的平均血压、心输出量、心脏指数、每搏量、每搏指数和平均颅内压与治疗前比较差异均无显著性(P>0.05);A组每搏量变异显著高于B组,且差异有显著性(P0.05).[结论]间歇性及连续性血液透析两种模式分别联合低分子肝素对ESRD患者的血流动力学和脑出血发生的影响无明显差异,临床上可视具体情况灵活选择.“,”[Objective]ToexpLoretheeffectsofdifferentdiaLysismodescombinedwithLow moLecuLarweightheparin onhemodynamicsandcerebraLhemorrhageinpatientswithend-stagerenaLdisease(ESRD).[Methods]Accordingtothe differentdiaLysismodes,atotaLof96patientswithESRDweredividedintotheintermittentdiaLysisgroup(groupA,n=48)andthecontinuousdiaLysisgroup(groupB,n=48).Thechangesofcardiacfunction,hemodynamicparametersand reLatedfactors,andtheoccurrenceofadverseeventsduringtreatmentwerecomparedbetweenthetwogroups.[ResuLts]TherewerenosignificantdifferencesinmeanbLoodpressure,cardiacoutput,cardiacindex,strokevoLume,strokeindex andintracraniaLpressurebetweenthetwogroupsbeforetreatment(P>0.05).Comparedtobeforetreatment,thevaria-tionofstrokevoLumeingroupA washigherthanthatingroupB (P0.05).[ConcLusion]IntermittentandcontinuoushemodiaLysiscombinedwithLow moLecuLarweightheparinhavenosignificantdifferenceinhemodynamicsandcerebraLhemorrhageinpatientswithESRD, soitcanbefLexibLyseLectedaccordingtothespecificsituationincLinic.