可调钠透析技术在预防血透急性并发症中的应用

摘要

Objective: To probe the influence of variable sodium Dialysis in preventing the acute complications of hemodialysis.Methods:50 patients with maitenance hemodialysis were divided randomly into 2 groups,each group was composed of 25 cases,which received standard sodium Dialysis and variable sodium Dialysis respectively for three months.The incidence rates of hepotension in dialysis and the syndrome of dialysisdisequlibrum were observed after dialysis.Results:The incidence rates of hypotension and the syndrome of dialysisdisequlibrum in variablesodium Dialysis were lower than that in standardsodium dialysis (P＜0.01),but concentration of serum sodium,Bun, Scr etc had no obvious difference with that treated with Variablesodium Dialysis.Conclusion:Variablesodium dialysis could improve the stability of blood volume,and avoide hypotension effectively, also improve the symptoms of dialysisdisequlibmm syndrome,and the quality of their alive.%目的:探讨可调钠透析(Variablesodium Dialysis,VSD)技术在预防血液透析急性并发症中的作用.方法:选择规律性维持性血液透析患者50例,随机分成两组,每组25人,分别给予可调钠透析与标准钠透析(Standardsodium Dialysis,SSD)3个月,观察透析后低血压与失衡综合征的发生率.结果:透析后可调钠组低血压与失衡综和征的发生率明显低于标准组(P<0.01),但血钠浓度、肌酐、尿素氮等指标无明显差异(P>0.05).结论:可调钠血液透析对维持性血液透析血容量起到稳定作用,有效防止低血压的发生,显著改善失衡综合征症状,提高患者的生活质量.