CÁC YẾU TỐ LIÊN QUAN ĐẾN BIẾN ĐỔI HUYẾT ÁP TRONG QUÁ TRÌNH LỌC MÁU Ở BỆNH NHÂN BỆNH THẬN MẠN GIAI ĐOẠN CUỐI CHẠY THẬN NHÂN TẠO CHU KỲ

Abstract

Objectives of the study: To study the factors related to changes of blood pressure during hemodialysis in patients with ESRD. Research methodology: cross-sectional descriptive study. Results: Survey 714 times of dialysis in 119 patients shows that: (1) 20,2% of dialysis had hypertension and 15,8% of dialysis had hypotension; (2) In the group of patients over 50 years old, the rate of hypotension was 57,5% and the rate of hypertension was 57,3%, that is higher than the group of patients <50 years old; the group of patients who gained more than 3 kg between 2 dialysis times had the highest rate of hypotension that was 53,9%; the group of patients on hemodialysis with ultrafiltration rate > 750 ml / h, the concentration of blood ure and creatinine are high and the concentration of blood albumin is low that have a higher risk of hypotension while on dialysis (p <0.05). Conclusion: The variation of blood pressure during dialysis in patients with ESRD is related to: age> 50 years, increased body weight by more than 3 kg between dialysis sessions, the ultrafiltration rate, the concentration of blood ure and creatinine are high and the concentration of blood albumin is low.