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低温透析避免低血压发生的机制 被引量:12

Initial Study on Low Temperature Dialysis in Treating Hypotension
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摘要 目的探讨低温透析纠正低血压的疗效和机制。方法选取我院长期规律透析患者中容易发生低血压或者血压偏低者16例,分别采用常温透析(37℃)和低温透析(35.5℃)交叉透析,各4次。自身前后对照,每次透析观察血压、心率、相对血容量(RBV)以及体温的变化,并且在透析末平卧采静脉血检查血管紧张素II、肾上腺素和皮质醇的变化。结果与常温透析比较,低血压发生率低(低温组22.3%,常温组为34.2%),低血压出现的时间晚(常温组3.95±0.44h,低温组4.43±0.56h,=0.037),血压、心率高,相对血容量低(低温组为0.73±0.11,常温组为0.82±0.09,=0.022),透析后血管紧张素II、肾上腺素和皮质醇升高(<0.05)。结论低温透析能够降低透析相关性低血压的发生机率。通过诱发机体应激反应,使血管紧张素、皮质醇和肾上腺素释放增加,来达到纠正低血压发生。 Object To study the mechanism of low temperature dialysis in treating hypotension. Method 16 long-term dialysis patients who are hypotensive or prone to hypotension were chosen to undertake 4 periods of corss dialysis with a common temperature (3712) and low temperature (35.5℃). The change of blood pressure, heart rate, RBV and bldy temperature during each dialysis were observed. The blood angiotonin, adnephrin and cortisol concentration were detected at the end of each dialysis. Atuo-control method was used to analyze the data. Result Compared with the common temperature group, the blood pressure and heart rate are high in the low tem- perature dialysis group, and the incidence rate of hypotension is lower; the occurrence time of hypotension is later; and the concentration of angiotonin, adnephrin and cortisol is higher. Conclusion Low temperature dialysis can cut down the probability of hypotension. Low temperature dialysis retrieves hypotension through inducing body emergency reaction.
出处 《医学新知》 CAS 2008年第1期33-34,37,共3页 New Medicine
关键词 低温透析 低血压 应激状态 low temperature dialysis emergency reactio hypotension
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  • 1谢永昌,沈劲,邱跃,李大才.血液透析过程中的症状性低血压[J].四川医学,1989,10(4):204-205. 被引量:4
  • 2单剑萍,季刚.慢性肾衰竭维持性血液透析患者血清瘦素水平及其意义[J].实用诊断与治疗杂志,2005,19(12):879-880. 被引量:8
  • 3[13]Fine A, Penner B. The protective effect of cool dialysate is dependent on patients' predialysis temperature. Am J Kidney Dis, 1996, 28(2):262-265 被引量:1
  • 4[1]Henrich WL. Hemodynamic instability during hemodialysis. Kidney Int,1986,30(4):605-612 被引量:1
  • 5[2]De Vries JP, Kouw PM, van der Meer NJ, et al. Non-invasive monitoringof blood volume during hemodialysis: its relation with post-dialytic dry weight. Kidney Int,1993,44(4):851-853 被引量:1
  • 6[3]Ligtenberg G, Blankestijn PJ, Koomans H. Hemodynamic response during lower body negative pressure: role of volume status. J Am Soc Nephrol,1998,9:105-113 被引量:1
  • 7[4]Van Kuijk WH, Luik AJ, de Leeuw PW, et al. Vascular reactivity during hemodialysis and isolated ultrafiltration: thermal influences. Nephrol Dial Transplant,1995,10(10):1852-1858 被引量:1
  • 8[5]Schneditz D, Martin K, Kramer M, et al. Effect of controlled extracorporeal blood cooling on ultrafiltration-induced blood volume changes during hemodialysis. J Am Soc Nephrol, 1997,8:956-964 被引量:1
  • 9[6]Daugirdas JT. Dialysis hypotension: A hemodynamic analysis. Kidney Int,1991,39:233-246 被引量:1
  • 10[7]Jost CM, Agarwal R, Khair-el-Din T, et al. Effects of cooler temperature dialysate on hemodynamic stability in "problem" dialysis patients. Kidney Int,1993,44(3):606-612 被引量:1

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