陈文祥,李明.高钠透析液对糖尿病肾衰竭血透患者的临床应用[J].内科急危重症杂志,2016,22(6):
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| DOI： |
| 中文关键词: 糖尿病肾衰竭,维持血透,透析液钠浓度 |
| 英文关键词:diabetic renal failure,maintenance hemodialysis,dialysis solution sodium concentration |
| 基金项目: |
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| 中文摘要: |
| 目的：观察不同钠浓度透析液对糖尿病肾衰竭维持血透患者的影响，寻求糖尿病肾衰竭维持血透患者的个体化透析处方，减少透析不良反应。方法：选取我院血液透析室糖尿病肾衰竭维持血透患者30例，采用自身对照研究方法，分别用135mmol/L、140mmol/L及145mmol/L钠浓度的透析液透析8周，观察不同钠浓度下透析不良反应发生的情况，并对透析指标进行评估。结果：（1）使用140mmol/L钠浓度的透析液可以显著降低低血压和肌痉挛的发生，透析效果较好。（2）使用140mmol/L钠浓度的透析液不增加口渴及高血压等副作用。结论:对糖尿病肾衰竭维持血透的患者使用较高钠浓度的透析处方可以降低患者不良反应发生率，是简便提高透析质量的方法。 |
| 英文摘要: |
| Objective: To observe the effects of different sodium concentrations on maintenance hemodialysis patients with diabetic renal failure, look for an individualized dialysis prescription, and reduce dialysis adverse reactions. Methods: Collected 30 cases patients maintenance hemodialysis with diabetic renal failure. Methods Using self-control method, dialysis adverse reactions and dialysis indicators were compared, and all patients were treated with 135mmol/L, 140mmol/L and 145mmol/L sodium concentrations for 8 weeks. Results: (1) The incidence of hypotension and muscle spasm could be significantly reduced by using 140mmol/L sodium concentration. (2) The side effects such as thirsty and high blood pressure were not increased by using 140mmol/L sodium concentration. Conclusion: Using high sodium concentration was a simple and convenient method to improve the quality of dialysis in patients with diabetic renal failure which could reduce dialysis adverse reactions. |
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