摘要
目的：观察渐进式低温加可调钠透析在防治高危患者透析低血压的有效性和安全性。方法选取有低血压倾向的高危透析患者26例，随机分别采用常温常规透析（A组）、低温加可调钠透析（B组）、渐进式低温加可调钠透析（C组），每例患者每种模式观察10次，比较3组在透析过程中血压值、超滤量发生率及低血压发生率的差异。结果3组透析模式相比，对低血压而言，B组、C组优于A组；B组、C组透析低血压发生率明显低于 A组。结论B组、C组透析可明显减少血液透析中高危患者的低血压发生率，但是C 组透析更安全，适合有低血压倾向的高危透析患者，并且温度可安全控制在35-34℃，明显减少透析不良反应发生率。
Abstract
Objective Observing the progressive low temperature dialysis in prevention and treatment of high -risk patients with adjustable sodium dialysis hypoten-sion efficacy and safety.Methods Selection has A tendency to low blood pressure of 26 patients with high -risk dialysis,random respectively using conventional dialysis (group A)under normal temperature and low temperature and adjustable sodium dialysis(group B)and progressive low temperature adjustable sodium dialysis(group C),each patient each mode observed 10 times,comparing three groups in the process of dialysis,blood pressure values,the differences between the incidence and the in-cidence of hypotension ultra filtration volume.Results Compared three groups of dialysis mode,for low blood pressure,group B is better than that of group A and group C;Dialysis hypotension incidence of group B and C group was obviously lower than that of group A .Conclusion Group B,group C dialysis can obviously reduce the inci-dence of high-risk patients in hem dialysis hypotension,but dialysis group C safer,dialysis patients at risk for has a tendency to lower blood pressure,and temperature can be safety control in 35-34 ℃,significantly reduce the incidence of adverse reactions to dialysis.
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