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目的分析维持性血液透析患者高血压相关因素及防治方法。方法回顾总结60例维持性血液透析患者年龄、透析前透后以及透析间期血压变化情况及透析方法和降血压药物对维持血透期间血压变化的影响。结果随着透析充分性的提高和降压药的使用,高血压有好转趋势,透析间期体重增加明显的患者高血压较严重,且难以控制,加强透析后可控制血压;部分病例充分超滤脱水并不能完全控制高血压,须合理使用降压药,而老年人随超水后血压下降明显。结论水钠潴留是导致高血压最主要因素;需合理调整透析方案、合理应用降血压药物才能有效控制高血压;而正确调节老年人透析参数,高血压可得到控制,并减少低血压的发生。
Objective To analyze the related factors and prevention and cure of hypertension in maintenance hemodialysis patients. Methods The clinical data of 60 hemodialysis patients with age, pre-hemodialysis and dialysis-interval blood pressure changes and the effects of dialysis and anti-hypertensive drugs on blood pressure during maintenance hemodialysis were retrospectively reviewed. Results With the improvement of adequacy of dialysis and the use of antihypertensive drugs, hypertension had a tendency of improvement. Patients with obvious weight gain during dialysis were more severe and difficult to control, and blood pressure could be controlled after dialysis. In some cases, ultrafiltration Dehydration and can not completely control high blood pressure, blood pressure should be reasonable use of antihypertensive drugs, and elderly people with blood pressure decreased significantly. Conclusions Shuinazhulian is the most important factor leading to hypertension. It is necessary to adjust the dialysis program rationally and use the antihypertensive drugs reasonably to effectively control the hypertension. To properly adjust the dialysis parameters of the elderly, the hypertension can be controlled and the hypotension can be reduced.