Treatment of post-dialytic orthostatic hypotension with an inflatable abdominal band in hemodialysis patients

摘要

The purpose of this study was to ascertain whether abdominal compression with an inflatable abdominal band, a device we developed, improved post-dialytic orthostatic hypotension (OH) in hemodialysis (HD) patients. Twenty-five chronic HD patients with intractable post-dialytic OH were recruited. Post-HD changes in systolic blood pressure (SBP) in the supine and standing positions were compared in the patients, measured with or without the use of the band. The study showed SBP after HD without the band was significantly greater than that measured before HD (-36.118.2 vs -13.116.8mm Hg; PPPPP<0.02) in responders than in non-responders. We conclude that the abdominal band was effective for overcoming post-dialytic OH, without elevating supine SBP in some patients.