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目的探讨血液透析滤过治疗维持性血液透析顽固性高血压的临床效果。方法选取40例维持性血液透析顽固性高血压患者按照患者入院就诊顺序随机分为试验组(采用血液透析滤过治疗)和对照组(采用血液透析治疗),各20例。比较2组患者治疗前后收缩压、舒张压的变化情况。结果对照组治疗后舒张压以及收缩压水平变化差异无统计学意义,试验组患者治疗后舒张压以及收缩压均显著低于治疗前(P<0.05),且明显低于对照组(P<0.05)。结论维持性血液透析患者采用血液透析滤过治疗顽固性高血压的临床效果显著,可有效降低患者的血压水平,在临床上具有较高的推广应用价值。
Objective To investigate the clinical effect of hemodiafiltration on maintenance hemodialysis refractory hypertension. Methods Forty patients with persistent hemodialysis and refractory hypertension were randomly divided into experimental group (treated with hemodiafiltration) and control group (treated with hemodialysis) according to the order of admission. The changes of systolic blood pressure and diastolic blood pressure before and after treatment in two groups were compared. Results There was no significant difference in diastolic blood pressure and systolic blood pressure after treatment in the control group. The diastolic blood pressure and systolic blood pressure in the experimental group were significantly lower than those before treatment (P <0.05), and were significantly lower than those in the control group (P <0.05 ). Conclusion Hemodialysis patients with hemodialysis filtration treatment of refractory hypertension significant clinical effect, which can effectively reduce the patient’s blood pressure level, has a higher clinical application value.