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目的:探讨在血液透析患者中,不同透析模式的效果以及低血压发生情况。方法:选取德宏州瑞丽市人民医院2010年7月-2014年6月收治的血液透析患者120例进行分析,按照透析方案的不同将其分为对照组(常规透析)和观察组(超滤透析、钠梯度透析、低温透析),观察患者的透析效果。结果:观察组患者的低血压发生率、护理干预率均低于对照组,其中观察组2、观察组3发生率和对照组相比差异明显,且患者血压指标更优,组间比较,差异具有统计学意义(P<0.05)。结论:对于血液透析患者而言,应用不同的血液透析模式具有不同的效果。其中钠梯度透析和低温透析能够预防低血压的发生,减少护理干预,改善血压指标,值得优先选用。
Objectives: To investigate the effects of different dialysis modalities and hypotension on hemodialysis patients. Methods: 120 cases of hemodialysis patients who were treated in Ruili People’s Hospital of Dehong Prefecture from July 2010 to June 2014 were selected and divided into control group (routine dialysis) and observation group (ultrafiltration Dialysis, sodium gradient dialysis, low temperature dialysis), to observe the patient’s dialysis effect. Results: The incidence of hypotension and nursing intervention in the observation group were lower than that in the control group. The incidence of observation group 2 and observation group 3 was significantly different from that of the control group, and the patients had better blood pressure index, Statistically significant (P <0.05). Conclusions: Different hemodialysis modalities have different effects for hemodialysis patients. Among them, sodium gradient dialysis and hypothermia dialysis can prevent the occurrence of hypotension, reduce nursing intervention and improve blood pressure index, which deserves priority.