人体成分测量辅助评估血液透析患者液体负荷的效果研究

doi:10.3761/j.issn.0254-1769.2019.06.002

中华护理杂志 ›› 2019, Vol. 54 ›› Issue (6): 812-816.DOI: 10.3761/j.issn.0254-1769.2019.06.002

人体成分测量辅助评估血液透析患者液体负荷的效果研究

李倩倩,魏丽丽,庞旭峰,刘云(),万香玉,朱亚梅,何亚岚,徐琴娟

266000 青岛市青岛大学附属医院护理部(李倩倩,魏丽丽),重症医学科(庞旭峰,万香玉);东部战区总医院卫生技术干部训练中心(刘云);南京医科大学附属第一医院血液净化中心(朱亚梅);江苏大学附属医院血液净化中心(何亚岚);苏州大学附属第一医院血液透析中心(徐琴娟)

收稿日期:2018-09-04 出版日期:2019-06-15 发布日期:2019-06-15
通讯作者:
作者简介:李倩倩:女,硕士,护士,E-mail: <email>sddzlylqq@163.com</email>

Clinical study of bioelectrical impedance assisted assessment of volume in hemodialysis patients

LI Qianqian,WEI Lili,PANG Xufeng,LIU Yun(),WAN Xiangyu,ZHU Yamei,HE Yalan,XU Qinjuan

Department of Nursing,The Affiliated Hospital of Qingdao University,Qingdao,266000,China

Received:2018-09-04 Online:2019-06-15 Published:2019-06-15

摘要/Abstract

摘要：

目的采用人体成分测量辅助评估血液透析患者的液体负荷,为临床血液透析患者提供容量评估的新方法。方法采用多中心随机对照法,选取2016年12月—2017年10月在江苏省3所三级甲等医院血液透析室行维持性血液透析的108例患者,随机分为实验组和对照组。实验组采用人体成分测量辅助评估患者液体负荷,对照组采用临床测量法评估患者液体负荷,分别比较干预前和随访半年后两组的血压、血压达标率、容量管理达标率和左心室质量指数的差异。结果干预前两组透析前舒张压、容量管理达标率、左心室质量指数的比较,差异无统计学意义(P>0.05),干预后3个月和6个月,实验组与对照组透析前收缩压、居家血压达标率的比较,差异有统计学意义(P<0.05)。结论采用人体成分测量辅助评估血液透析患者液体负荷,可以改善患者透析前的收缩压及家庭血压达标率。

关键词: 肾透析, 容量评估, 干体重, 生物电阻抗法, 多中心

Abstract:

Objective Using bioelectrical impedance method to evaluate the volume of hemodialysis patients and provide a new method for evaluating volume.Methods From December 2016 to October 2017,108 maintenance hemodialysis patients from three tertiary hospitals in Jiangsu Province were selected. Patients were randomly divided into the experimental group and the control group. The volume of patients in the control group was evaluated by clinical assessment method,and the experimental group was evaluated by bioelectrical impedance assessment. Before and half a year after follow-up,blood pressure,rate of reaching the standard of family blood pressure,rate of volume control,and left ventricular mass index(LVMI) were compared between two groups.Results Diastolic blood pressure, compliance rate of volume control and left ventricular mass index before dialysis showed no significant difference between the two groups(P>0.05).Three months and 6 months after intervention,the systolic blood pressure before dialysis and rate of reaching the standard of family blood pressure in the experimental group were significantly higher than those in the control group(P<0.05).Conclusion Bioelectrical impedance assisted assessment can improve systolic blood pressure and rate of reaching the standard of family blood pressure.

Key words: Renal Dialysis, Volume Assessment, Dry Weight, Bioelectrical Impedance, Multicenter

李倩倩, 魏丽丽, 庞旭峰, 刘云, 万香玉, 朱亚梅, 何亚岚, 徐琴娟. 人体成分测量辅助评估血液透析患者液体负荷的效果研究[J]. 中华护理杂志, 2019, 54(6): 812-816.

LI Qianqian, WEI Lili, PANG Xufeng, LIU Yun, WAN Xiangyu, ZHU Yamei, HE Yalan, XU Qinjuan. Clinical study of bioelectrical impedance assisted assessment of volume in hemodialysis patients[J]. Chinese Journal of Nursing, 2019, 54(6): 812-816.

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人体成分测量辅助评估血液透析患者液体负荷的效果研究

Clinical study of bioelectrical impedance assisted assessment of volume in hemodialysis patients

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