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Influence on blood pressure for patients with end stage diabetic nephropathy by dining during hemodialysis

Ma Jingxiu,Li Jiating,Liu Guohong ( Nursing Department,The Third Affiliated Hospital of Guilin Medical College,Guilin,541001)  
Objective To investigate the change and significance of blood pressure for patients with end stage diabetic nephropathy (ESDN) by dining during hemodialysis. Method 20 patients with ESDN undergoing total 1686 times maintenance hedodialysis were randomly divided into dinner group (A),no diner group (B) during the courses of hemodialysis,and 20 patients without ESDN undergoing total 1620 times maintenance hemodialysis were divided into diner group C and no diner group D. the change of MAP was observed and compared among the four groups combined with BG level.Result The accident rate of hypertension of group A( 339/848,40.2%) group B (256/843,31.4%),C group (251/810,29.8%)group D(167/810,20.6%)(P0.05). there was no significant difference between group C and group B. MAP of group A with lower BG accidence (31 cases) were significant higher than that of group A without BG accidence (308 cases). There was no significant in MAP between 45 cases with lower BG accidence and 220 cases without lower BG accidence. MAP of group A and group B with lower BG accidence was positively related to BG level (P0.001),and MAP of other group was not related to BG level. Conclusion The dinning during the courses of hemodialysis may increase the accidence rate of symptomatic hypotension,especially for patients with ESDN. Hypertension was more likely to be observed among ESDN patients with lower BG accidence during hemodialysis,and dinning in the courses of hemodialysis may protect ESDN patients with lower BG accidence from hypotension accidence. When hypotension happens,ESDN patients without lower BG should avoid intake.
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