Changes in blood pressure of patients with diabetic nephropathy in the process of hemodialysis and related care measures
10.3969/j.issn.1009-0754.2015.04.018
- VernacularTitle:糖尿病肾病患者血液透析中血压变化特点及护理措施探析
- Author:
Ying WANG
1
;
Congguo LIU
;
Rong CHENG
;
Xiao ZHANG
Author Information
1. 三峡大学第三临床医学院葛洲坝中心医院肾内科
- Keywords:
Diabetic nephropathy;
Hemodialysis;
Features of changes in blood pressure;
Care measure
- From:
Journal of Navy Medicine
2015;(4):334-336
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze changes in blood pressure of patients with diabetic nephropathy in the process of hemodial-ysis and related care measures.Methods The clinical data of 40 cases of diabetic nephropathy admitted into the Nephrology Depart-ment of our hospital from January 2013 to September 2014 were analyzed statistically.Results The incidence of hypotension in the process of hemodialysis for the study group was 32.5% (13 /40),which was significantly higher than that of the control group 12.5%(5 /40)(P <0.05).At the start of dialysis,average decline in systolic blood pressure at hours 1,2 and 3 were significantly higher than those of the control group (P <0.05).Incidence of nausea and vomiting,sudden loss of consciousness,yawning,snoring,apa-thy,lethargy and symptomlessness were all significantly higher than those of the control group (P <0.05).Conclusion Diabetic ne-phropathy patients were prone to have hypotension in the process of hemodialysis,with a higher rate of pressure decline,and complex and diverse clinical manifestations in blood pressure.Effective measures should be taken to give better care of such patients.
