The effect of ultrafiltration rate on the intradialytic hypotension in patients with end stage diabetic nephropathy

LI Rui-zhao; LIANG Xin-ling; CHEN Yuan-han; LIU Shuang-xin; XIA Yun-feng; LI Zhi-lian; LI Zhuo; SHI Wei

doi:10.3969/j.issn.1671-4091.2011..00

[an error occurred while processing this directive]

Chinese Journal of Blood Purification >

2011 , Vol. 10 >Issue 02: 80 - 82

DOI: https://doi.org/10.3969/j.issn.1671-4091.2011..00

临床研究

The effect of ultrafiltration rate on the intradialytic hypotension in patients with end stage diabetic nephropathy

LI Rui-zhao ,
LIANG Xin-ling ,
CHEN Yuan-han ,
LIU Shuang-xin ,
XIA Yun-feng ,
LI Zhi-lian ,
LI Zhuo ,
SHI Wei

Expand

Division of Nephrology & Blood Purification Center of Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080 China

Received date: 2010-09-25

Revised date: 1900-01-01

Online published: 2011-02-12

Fold

Abstract

Objectives To evaluate the effect of ultrafiltration rate on the hypotension during hemodialysis session in patients with end stage diabetic nephropathy. Methods Seventy-three patients with end stage diabetic nephropathy receiving maintenance hemodialysis were selected in the study. They were treated with different dialysis modality, dialyzer, blood flow and ultrafiltration rate according to the individual condition. The occurrence of hypotension during hemodialysis session was analyzed. Results The intradialytic hypotension rate was 19.8% in patients with the individual ultrafiltration rate <10 ml/kg/h, and was 25.5% in patients with the rate >10ml/kg/h. Logistic regression analysis indicated that the individual ultrafiltration rate was an independent risk factor for intradialytic hypotension in patients with end stage diabetic nephropathy receiving maintenance hemodialysis. Conclusion A lower individual ultrafiltration rate can effectively reduce the occurrence of hypotension and can improve the tolerance to hemodialysis in patients with end stage diabetic nephropathy.

Key words： Hemodialysis; Hypotension; Individual ultrafiltration rate

Cite this article

LI Rui-zhao , LIANG Xin-ling , CHEN Yuan-han , LIU Shuang-xin , XIA Yun-feng , LI Zhi-lian , LI Zhuo , SHI Wei . The effect of ultrafiltration rate on the intradialytic hypotension in patients with end stage diabetic nephropathy[J]. Chinese Journal of Blood Purification, 2011 , 10(02) : 80 -82 . DOI: 10.3969/j.issn.1671-4091.2011..00

Options

Outlines

模态框（Modal）标题

Abstract

Cite this article