Analysis of influencing factors of low blood pressure in hemodialysis patients with end stage of diabetic nephropathy
10.3760/cma.j.issn.1008-6706.2016.06.035
- VernacularTitle:糖尿病肾病终末期患者血液透析出现低血压的影响因素分析
- Author:
Jie CHEN
;
Juan TANG
- Publication Type:Journal Article
- Keywords:
Diabetic nephropathy;
Dialysis;
Hypotension;
Influential factors
- From:Chinese Journal of Primary Medicine and Pharmacy
2016;23(6):926-928,929
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influencing factors of hypotension in hemodialysis patients with end stage of diabetic nephropathy.Methods 106 patients of advanced diabetic nephropathy who received maintenance hemodialysis were selected in the present study.According to the patients'condition needs, chose different dialysis modes,dialyzers, dialysis blood flow and ultrafiltration rate, compared the frequency of occurrence of hypotension during treatment.Results By multivariate regression analysis,gender,dialysis mode,dialysis and blood flow had no correlation with hypotension during dialysis.The age, hemoglobin, serum albumin, cardiac function and individual ultrafiltration rate were correlated with the incidence of hypotension in patients with diabetic nephropathy.Individual-ized ultrafiltration rate was less than or equal to 10 mL · kg-1 · min-1 and individual ultrafiltration rate was up to 10 mL· kg-1 · min-1 ,the incidence rates of hypotension were 18.9% and 25.9%,the difference was statistically significant (χ2 =7.102,P<0.05).Conclusion Diabetic nephropathy patients during dialysis,ultrafiltration rate control individuals can effectively reduce the frequency of occurrence of hypotension during dialysis, hemodialysis patients may improve tolerability.
