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首页> 外文期刊>European Journal of General Medicine >Severe Hyperkalemia: A Retrospective Analysis
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Severe Hyperkalemia: A Retrospective Analysis

机译：严重高钾血症：回顾性分析

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Aim: To investigate the effect of hemodialysis on blood pressure by monitoring ambulatory blood pressure during the interdialysis period and to evaluate the relationship between hypertension and the percentage of total body water calculated via bioelectrical impedance analysis. Methods: Twenty five patients with end stage renal disease who were in the hemodialysis program were included in the study. But only fifteen patients had been able to stay in the required criteria till the end. Pre- and post-dialysis blood pressures of the patients were measured manually and ambulatory blood pressure measurements were obtained during the interdialysis period. Measurements of total body water were performed with bioelectrical impedance method following the hemodialysis procedure. The patients were evaluated for daily course of blood pressure, use of anti-hypertensive medications, incidence of the falling rate of blood pressure at night, amount of total body water and interdialysis weight gain. Results: Manual pre- and post-dialysis measurements and mean values of 44 hours' ambulatory blood pressure monitoring were found to be similar. Blood pressures were found to be significantly low until the 24th hour and they were increased at the 2nd day, then returned to initial levels at the 44th hour. There was uncontrolled hypertension in 7 of the 11 hypertensive patients (63.6 %). Mean percentage of total body water was higher in patients with hypertension (61.1 ±9.8 vs. 57.9±7.0, p>0.05). Conclusion: In our study, the reducing effect of hemodialysis on blood pressure was observed and this effect has continued nearly 24 hours after the dialysis. The fact that total body water is more in hypertensive patients supports the idea that volume excess is an important factor responsible from hypertension.
机译：目的：通过监测透析间隔期间的动态血压来研究血液透析对血压的影响，并评估高血压与通过生物电阻抗分析计算出的总体内水分百分比之间的关系。方法：本研究纳入了25名处于血液透析程序中的终末期肾病患者。但是只有十五名患者能够按照要求的标准住院直至结束。手动测量患者的透析前和透析后血压，并在透析间隔期间获得动态血压。血液透析后，用生物电阻抗法进行全身水的测定。对患者进行每日血压变化，抗高血压药物的使用，夜间血压下降率，全身水量和透析间体重增加的评估。结果：发现人工透析前后的测量值和44小时动态血压监测的平均值相似。直到第24小时，血压才显着降低，并在第2天升高，然后在第44小时恢复到初始水平。 11例高血压患者中有7例发生了无法控制的高血压（63.6％）。高血压患者的平均总体内水分百分比更高（61.1±9.8 vs. 57.9±7.0，p> 0.05）。结论：在我们的研究中，观察到血液透析对血压的降低作用，并且这种作用在透析后将近24小时持续。高血压患者体内总水分更多的事实支持以下观点：过量的水分是引起高血压的重要因素。

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