Abstract:Objective To explore and analyze the related influencing factors of hypotension in hemodialysis patients. Methods Totally 105 hemodialysis patients admitted to our hospital from October 2016 to September 2019 were selected as study subjects. According to whether hypotension occurred, they were divided into the observation group (hypotension) and the control group (nonhypotension), including 48 cases in the observation group and 57 cases in the control group. Retrospective analysis was used to compare the clinical data of the two groups of patients to analyze and summarize the related factors of hypotension in hemodialysis patients. Results The results of single factor analysis showed that age, body mass index, dialysis mode, ultrafiltration volume, ultrafiltration rate, hemoglobin, albumin,fasting blood glucose and PTH levels of hemodialysis patients were all influencing factors of hypotension in hemodialysis patients (P<0.05). Multifactor results showed that age ≥60 years old, ultrafiltration rate ≥2 000 mL, ultrafiltration volume ≥10 mL/min, fasting blood glucose ≥7.8 mmol/L and PTH≥400 pg/mL were risk factors for hypotension in hemodialysis patients (P<0.05), and albumin ≥25 g/L was a protective factor for hypotension in hemodialysis patients (P<0.05). Conclusion Older age, higher ultrafiltration rate, larger ultrafiltration volume, lower albumin, higher blood glucose and higher PTH level are risk factors for hypotension in hemodialysis patients.
杨晓,陈曾超,王蕾. 血液透析患者发生低血压的相关因素分析[J]. 中国医院统计, 2020, 27(4): 315-318.
Yang Xiao, Chen Zengchao, Wang Lei.. Analysis of related factors of hypotension in hemodialysis patients. journal1, 2020, 27(4): 315-318.
[1]KUIPERS J, OOSTERHUIS J K, KRIJNEN W P, et al. Prevalence of intradialytic hypotension, clinical symptoms and nursing interventionsa threemonths, prospective study of 3818 haemodialysis sessions[J]. BMC Nephrol, 2016,17:21.
[2]MORABRAVO F G, DELACRUZ G, RIVERA S, et al. Association of intradialytic hypotension and convective volume in hemodiafiltration: results from a retrospective cohort study[J]. BMC Nephrol, 2012,13:106.
[3]葛正华.血液透析治疗过程中低血压原因构成分析[J].中国处方药,2017,15(12):160-161.
[4]SILVERSIDES J A, PINTO R, KUINT R, et al. Fluid balance, intradialytic hypotension, and outcomes in critically ill patients undergoing renal replacement therapy: a cohort study[J]. Crit Care, 2014,18(6):624.
[5]王质刚.血液净化学[M].2版.北京:北京科学技术出版社,2003:409-415.
[6]李秀云,郭俊勇,杨晓玲,等.血液透析患者相关性低血压发病危险因素分析及对策[J].齐鲁护理杂志,2017,23(19):47-49.
[7]邓菲,洪大情,冯静,等.维持性血液透析患者透析中低血压事件高危因素的临床分析[J].淮海医药,2016,34(4):416-418.
[8]ISMAIL S, SHAHZAD K, SHAFIQ F. Observational study to assess the effectiveness of postoperative pain management of patients undergoing elective cesarean section[J]. J Anaesthesiol Clin Pharmacol, 2012,28(1):36-40.
[9]高丽华,孙宇,赵海鹰,等.血液透析相关性低血压因素分析及防治措施[J].中国老年保健医学,2017,15(3):75-76.
[10]郭晓燕,王艳,肖东星,等.维持性血液透析患者透析中低血压的相关因素分析[J].中国中西医结合肾病杂志,2016,17(12):1061-1062.
[11]胡丹,吴险峰,涂卫平.血液透析相关性低血压的临床研究进展[J].中国全科医学,2017,20(6):759-762.
[12]杜柏华.血液透析相关性低血压危险因素病例对照分析[J].中华全科医学,2012,10(12):1901-1902.
[13]潘璐璐,何颖雪,邵国建.维持性血液透析患者发生透析中低血压的相关危险因素分析[J].浙江医学,2019,41(22):2421-2423.
[14]易琴霞.血液透析低血压的相关因素与预防研究[J].中外医疗,2018,37(31):72-74.
[15]葛加红.护理干预预防血液透析相关性低血压临床观察[J].中外医学研究,2015,13(30):81-82.
[16]张金宁.探析血液透析中低血压的预防及护理效果观察[J].中国医药指南,2016,14(18):213-213.