【摘要】 目的探讨水盐管理对慢性肾脏病患者血压及容量负荷的影响。方法选取2018年1—6月在我院住院的慢性肾脏病患者85例为研究对象,对患者进行为期6个月的水盐管理。观察患者管理前后水肿情况、血压及容量负荷各项指标变化。结果实施6个月的水盐管理后,患者水肿程度轻于管理前(P <0. 05); SBP、DBP、MBP、血钠及心胸比均低于管理前(P <0. 05);患者24 h尿钠定量、24 h尿蛋白定量、左室舒张末期内径、左室收缩末期内径、射血分数及左室缩短分数均低于管理前(P <0. 05)。结论将水盐管理应用于慢性肾脏病患者中,可显著改善患者的血压及容量负荷指标,对改善患者预后有着重要意义,值得临床推广应用。更多还原

【Abstract】 Objective To explore the effect of water and salt management on blood pressure and capacity load in patients with chronic kidney disease.Methods To 85 cases of patients with chronic kidney disease who were hospitalized in our hospital from January to June 2018 as a study object. The patients were given water and salt management for 6 months. We observed the changes of edema,blood pressure and capacity load before and after management. Results After 6 months of water and salt management,the patient’s edema was lighter than situations of before management( P < 0. 05). The SBP,DBP,MBP,blood sodium and cardiothoracic ratio were lower than those of before management( P < 0. 05). The 24 h urinary sodium quantification of patients,24 h urinary protein quantification,left ventricular end diastolic diameter,left ventricular end-systolic diameter,ejection fraction,and left ventricular shortening score were lower than those of before management( P < 0. 05). Conclusion The application of water and salt management in patients with chronic kidney disease could significantly improve the blood pressure and volume load indicators of patients,which is of great significance for improving the prognosis of patients,which was worthy of clinical promotion and application.更多还原