Curative Effect Evaluation of Individual Combination of Temperature Control,Sodium Curve and Step Ultrafiltration Mode on Intradialytic Hypotension

Objective To research the curative effect of individual combination of temperature control,sodium curve and step ultrafiltration mode on intradialytic hypotension(IDH), and to investigate the reasonable treatment scheme of IDH. Methods 60 patients with a high incidence of hypotension of maintenance hemodialysis(MHD),randomly divided into two groups(experimental group and control group), with 30 patients in each group,and normal standard dialysis mode was used in control group. According to the occurrence regularity of IDH,the internal temperature, sodium dialysis machine, curve, stepultrafiltration mode combined with hemodialysis were set individual. The frequency of occurrence of IDH,symptom scores,dry body weight, blood pressure change during and after dialysis, and electrolyte(sodium,potassium,chlorine) after dialysis were compared between the two groups. Results The total incidence of hypotension, dry body weight,blood pressure during and after dialysis in experimental group were better than those of control group(P 0.05). The symptom scores(dizziness,chest tightness,sweating score, muscle spasm, gastrointestinal symptoms score, short mental change score)were lower than those of control group(P 0.05). But there were no significant differences in serum sodium,potassium and chlorine concentrations between the two groups after dialysis(P 0.05). Conclusion The individual combination of temperature control,sodium curve and step ultrafiltration mode is safe and effective,which can prevent and control the occurrence of IDH, improve symptoms and increase dry weight success rate.