血液透析滤过对长期血透患者难治性高血压的临床价值.docVIP

精品论文 参考文献 血液透析滤过对长期血透患者难治性高血压的临床价值 敬莉蓉 　　（射洪县人民医院 四川 射洪 629200） 　　【摘要】 目的：对应用血液透析滤过方式对长期接受血液透析且伴有难治性高血压疾病的患者实施治疗的临床效果进行研究。方法：选择我院收治的长期接受血液透析且伴有难治性高血压疾病的患者82例，随机分为对照组和治疗组，平均每组41例。采用常规血液透析方式对对照组患者实施治疗；采用血液透析滤过方式对治疗组患者实施治疗。结果：治疗组患者难治性高血压疾病的控制效果明显优于对照组；血压水平恢复正常稳定状态时间明显短于对照组。结论：应用血液透析滤过方式对长期接受血液透析且伴有难治性高血压疾病的患者实施治疗的临床效果非常明显。 　　【关键词】 血液透析滤过；长期血透；难治性高血压；治疗 　　【中图分类号】R544.1 【文献标识码】A 【文章编号】2095-1752（2016）25-0027-02 　　Clinical value of hemodialysis in patients with refractory hypertension in hemodialysis patients 　　Jing Lirong. The Peoples Hospital of Shehong County, Sichuan Province, Shehong 629200, China 　　【Abstract】Objective Application of hemodialysis filtration method for long-term in patients undergoing hemodialysis and refractory hypertension disease implemented to study the clinical effect of treatment. Methods Our hospitals long-term receiving hemodialysis and 82 cases of patients with refractory hypertension disease, were randomly divided into control group and treatment group, an average of 41 cases in each group. The conventional way of hemodialysis treatment in patients with control group; adopts the hemodialysis filtration method for the treatment group patientsrsquo; treatment. Results The treatment group patients with refractory hypertension disease control effect is better than the control group; Blood pressure levels that returned to normal levels steady state time significantly shorter than the control group. Conclusion The application of long-term hemodialysis filtration way in patients undergoing hemodialysis and refractory hypertension disease treatment in clinical effect is very obvious. 　　【Key words】Hemodialysis filtration;Long-term hemodialysis;Refractory hypertension;Treatment 　　临床上接受维持性血液透析治疗的患者中有80%以上都会同时伴有高血压疾病，部分患者在经过常规血液透析和超滤脱水治疗之后达到干体质量，且联合应用足量的降压药物进行治疗之后，血压水平仍然长期处于持续性高水平状态，在临床上被称为难治性高血压[1]。本次对应用血液透析滤过方式对长期接受血液透析且伴有难治性高血压疾病的患者实施治疗的临床效果进行研究。现汇报如下。 　　1.资料和方法 　　1.1 一般资料 　　在2014年1月～2016年1月选择我院收治的长期接受血液透