{"title":"尼日利亚耶纳戈阿血液透析患者的血压变化。","authors":"Oghenekaro Godwin Egbi, Ahmed Sulaiman Daz","doi":"10.4103/nmj.NMJ_76_19","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Hemodialysis (HD) is a common modality of renal replacement therapy in Nigeria. Despite its usefulness, it may have complications such as intra-dialytic hypotension (IDH) and intra-dialytic hypertension (IDHTN), both of which may impact negatively on the patient. The aim of the study was to examine blood pressure (BP) changes during HD, to determine the frequency of IDH and IDHTN in patients undergoing HD, and to possibly identify associated factors.</p><p><strong>Materials and methods: </strong>The study design was a retrospective review of records of patients who had HD in the Rainbow Dialysis Center, a foremost private dialysis center in Bayelsa State. The records of all adults who had HD in the center from June 2014 to June 2018 were reviewed. Data retrieved include sociodemographics, type and cause of renal disease, and clinical and laboratory parameters such as BPs, packed cell volume, urea, and creatinine.</p><p><strong>Statistical analysis used: </strong>Data were analyzed with SPSS version 20.0. Data were presented in tabular forms. Variables were expressed as mean with standard deviation, frequencies, and percentages. The means were compared using Student's <i>t</i>-test or analysis of variance where appropriate. Chi-square test was used to compare proportions. Statistical significance was set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>One hundred and thirty-six cases were recruited for the study. IDH and IDHTN were found in 16.9% and 16.2% of the patients, respectively. There was no significant difference between the mean predialysis and postdialysis systolic, diastolic, mean arterial BP, or pulse pressure (<i>P</i> > 0.05). Older age was positively and significantly associated with IDHTN (<i>P</i> = 0.047).</p><p><strong>Conclusions: </strong>IDH and IDHTN were prevalent among the patients studied, with the latter being slightly more likely to occur with advancing age. There is a need for adequate BP monitoring and management during HD.</p>","PeriodicalId":19223,"journal":{"name":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","volume":"60 6","pages":"290-294"},"PeriodicalIF":0.0000,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f7/cc/NMJ-60-290.PMC7053272.pdf","citationCount":"0","resultStr":"{\"title\":\"Blood Pressure Changes among Patients Undergoing Hemodialysis in Yenagoa, Nigeria.\",\"authors\":\"Oghenekaro Godwin Egbi, Ahmed Sulaiman Daz\",\"doi\":\"10.4103/nmj.NMJ_76_19\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Hemodialysis (HD) is a common modality of renal replacement therapy in Nigeria. Despite its usefulness, it may have complications such as intra-dialytic hypotension (IDH) and intra-dialytic hypertension (IDHTN), both of which may impact negatively on the patient. The aim of the study was to examine blood pressure (BP) changes during HD, to determine the frequency of IDH and IDHTN in patients undergoing HD, and to possibly identify associated factors.</p><p><strong>Materials and methods: </strong>The study design was a retrospective review of records of patients who had HD in the Rainbow Dialysis Center, a foremost private dialysis center in Bayelsa State. The records of all adults who had HD in the center from June 2014 to June 2018 were reviewed. Data retrieved include sociodemographics, type and cause of renal disease, and clinical and laboratory parameters such as BPs, packed cell volume, urea, and creatinine.</p><p><strong>Statistical analysis used: </strong>Data were analyzed with SPSS version 20.0. Data were presented in tabular forms. Variables were expressed as mean with standard deviation, frequencies, and percentages. The means were compared using Student's <i>t</i>-test or analysis of variance where appropriate. Chi-square test was used to compare proportions. Statistical significance was set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>One hundred and thirty-six cases were recruited for the study. IDH and IDHTN were found in 16.9% and 16.2% of the patients, respectively. There was no significant difference between the mean predialysis and postdialysis systolic, diastolic, mean arterial BP, or pulse pressure (<i>P</i> > 0.05). Older age was positively and significantly associated with IDHTN (<i>P</i> = 0.047).</p><p><strong>Conclusions: </strong>IDH and IDHTN were prevalent among the patients studied, with the latter being slightly more likely to occur with advancing age. There is a need for adequate BP monitoring and management during HD.</p>\",\"PeriodicalId\":19223,\"journal\":{\"name\":\"Nigerian Medical Journal : Journal of the Nigeria Medical Association\",\"volume\":\"60 6\",\"pages\":\"290-294\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f7/cc/NMJ-60-290.PMC7053272.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nigerian Medical Journal : Journal of the Nigeria Medical Association\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/nmj.NMJ_76_19\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2020/2/24 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nigerian Medical Journal : Journal of the Nigeria Medical Association","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/nmj.NMJ_76_19","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2020/2/24 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
导言:在尼日利亚,血液透析(HD)是一种常见的肾脏替代疗法。尽管血液透析很有用,但它可能会出现一些并发症,如透析中低血压(IDH)和透析中高血压(IDHTN),这两种疾病都可能对患者产生负面影响。本研究的目的是检查 HD 期间的血压(BP)变化,确定 HD 患者发生 IDH 和 IDHTN 的频率,并找出可能的相关因素:研究设计是对巴耶尔萨州首屈一指的私营透析中心 Rainbow 透析中心的 HD 患者记录进行回顾性审查。研究人员回顾了 2014 年 6 月至 2018 年 6 月期间在该中心接受 HD 治疗的所有成年人的记录。检索的数据包括社会人口统计学、肾病类型和病因,以及临床和实验室参数,如血压、充盈细胞体积、尿素和肌酐:数据采用 SPSS 20.0 版进行分析。数据以表格形式呈现。变量以平均值和标准差、频率和百分比表示。在适当的情况下,采用学生 t 检验或方差分析对平均值进行比较。比例比较采用卡方检验。统计显著性以 P < 0.05 为标准:研究共招募了 136 个病例。发现 IDH 和 IDHTN 的患者分别占 16.9% 和 16.2%。透析前和透析后的平均收缩压、舒张压、平均动脉血压和脉压之间无明显差异(P > 0.05)。年龄较大与 IDHTN 呈显著正相关(P = 0.047):结论:IDH 和 IDHTN 在所研究的患者中普遍存在,后者随着年龄的增长更容易发生。在血液透析过程中需要对血压进行充分的监测和管理。
Blood Pressure Changes among Patients Undergoing Hemodialysis in Yenagoa, Nigeria.
Introduction: Hemodialysis (HD) is a common modality of renal replacement therapy in Nigeria. Despite its usefulness, it may have complications such as intra-dialytic hypotension (IDH) and intra-dialytic hypertension (IDHTN), both of which may impact negatively on the patient. The aim of the study was to examine blood pressure (BP) changes during HD, to determine the frequency of IDH and IDHTN in patients undergoing HD, and to possibly identify associated factors.
Materials and methods: The study design was a retrospective review of records of patients who had HD in the Rainbow Dialysis Center, a foremost private dialysis center in Bayelsa State. The records of all adults who had HD in the center from June 2014 to June 2018 were reviewed. Data retrieved include sociodemographics, type and cause of renal disease, and clinical and laboratory parameters such as BPs, packed cell volume, urea, and creatinine.
Statistical analysis used: Data were analyzed with SPSS version 20.0. Data were presented in tabular forms. Variables were expressed as mean with standard deviation, frequencies, and percentages. The means were compared using Student's t-test or analysis of variance where appropriate. Chi-square test was used to compare proportions. Statistical significance was set at P < 0.05.
Results: One hundred and thirty-six cases were recruited for the study. IDH and IDHTN were found in 16.9% and 16.2% of the patients, respectively. There was no significant difference between the mean predialysis and postdialysis systolic, diastolic, mean arterial BP, or pulse pressure (P > 0.05). Older age was positively and significantly associated with IDHTN (P = 0.047).
Conclusions: IDH and IDHTN were prevalent among the patients studied, with the latter being slightly more likely to occur with advancing age. There is a need for adequate BP monitoring and management during HD.