维持性血液透析患者血压节律异常的机制及治疗

被引:2
作者
周巧巧
汤锋
机构
[1] 解放军第医院肾内科
关键词
血压节律; MHD; MLT; 容量负荷; 前负荷; 动态血压监测; 夜间血压; 生物节律; 昼夜节律;
D O I
暂无
中图分类号
R544.1 [高血压];
学科分类号
1002 ; 100201 ;
摘要
<正>70%80%的维持性血液透析(maintenance hemodialysis,MHD)患者透析前血压升高[1],并且难以较好地控制。高血压与MHD患者的心血管死亡率和全因死亡率密切相关。血液透析过程中的血流动力学变化使心血管死亡率增加3倍[2]。MHD患者高血压发生的因素较多,特别是间断机体容量的变化使得其血压的变化很复杂[3]。另外,MHD患者血压的昼夜节律同普通人群不同,正常的昼夜节律消失,每个透析周期都会经历容量波动[4],致使MHD患者的血压更加难以控制。本文旨在阐述MHD患者的血压节律及可能机制和治疗方案。22一、MHD患者的血压节律
引用
收藏
页码:7173 / 7175
页数:3
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