中国血液净化

中国血液净化 ›› 2014, Vol. 13 ›› Issue (12): 819-823.doi: 10.3969/j.issn.1671-4091.2014.12.004

• 临床研究 • 上一篇    下一篇

血液透析患者家庭自测血压与透析日血压的相关性研究

刘莹,程李涛,唐子勇,王悦,汪涛,范敏华   

  1. 北京大学第三医院肾内科
  • 收稿日期:2014-06-03 修回日期:2014-09-09 出版日期:2014-12-12 发布日期:2014-12-12
  • 通讯作者: 程李涛，唐子勇 :ltcheng@bjmu.edu.cn或tangziyong@gmail.com E-mail:ziyongtang@sohu.com

The relationship between home blood pressure measurement and dialysis-center blood pressure in hemodialysis patients

  • Received:2014-06-03 Revised:2014-09-09 Online:2014-12-12 Published:2014-12-12

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摘要： 目的调查家庭自测血压与血液透析中心测量血压的关联度，患者在透析中心测量的血压中，哪一个能更好反映非透析日血压的状态。方法有56 名血液透析患者参与研究，分别采集患者家庭自测血压、上机前血压及上机后不同时间点血压情况，比较不同时间点血压测量值之间的相关性。结果上机后1h 血压判定为高血压组、正常血压组与家庭自测血压判定为高血压组、正常血压组的符合率最高，分别为81.8%、61.8%。将患者按照家庭自测血压状态分为高血压组和正常血压组后，可见高血压组上机前30min 的收缩压、舒张压与家庭自测收缩压、舒张压的差值最小，而正常血压组，上机前30min的收缩压、舒张压与家庭自测收缩压、舒张压的差值最大。结论上机后1h 血压判定为高血压组、正常血压组与家庭自测血压判定为高血压组、正常血压组的符合率最高，可以通过上机后1h 血压状态估计
患者透析间期的血压情况。

关键词: 血液透析, 家庭自测血压, 透析中心血压

Abstract: Objective To investigate the association between home blood pressure monitoring and dialysis-center blood pressure in hemodialysis patients. Methods Fifty-six patient on hemodialysis participated in the study. Their blood pressures measured at home, before and after the initiation of a dialysis session were measured for association analysis. Results The patients were divided into hypertension and controlled hypertension groups according to their home blood pressures. In both groups, blood pressures measured at 1 hour on dialysis were best matched with those of home blood pressure monitoring (agreement were 81.8% and 61.8%, respectively). Conclusion Both hypertension groups and controlled groups in dialysis for 1 hour matched those in home blood pressure status best. The blood pressure measured at 1 hour on dialysis could be used to assess patients’ home blood pressure status.

Key words: hemodialysis, home blood pressure measurement, dialysis-center blood pressure