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| Effect of Sequential Calcium Dialysis on Maintenance Hemodialysis Patients with Hypertension |
| QI Zhong-yi, PENG Xiang-he, YAN Lu, et al |
| Department of Nephrology, Xiangtan County People's Hospital Affiliated to Changsha Medical College,Xiangtan,Hunan 411228 |
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Abstract 【Objective】To investigate the efficacy and safety of sequential calcium dialysis in patients with maintenance hemodialysis (HD) complicated with hypertension. 【Methods】Changes of blood pressure, serum calcium, blood phosphorus, parathyroid hormone (PTH) levels before and after sequential calcium dialysis treatment in 25 patients with maintenance HD with hypertension were compared. 【Results】Sequential calcium dialysis effectively reduced systolic blood pressure, diastolic blood pressure and mean arterial blood pressure during hemodialysis. The overall effective rate was 89.5% (17/25). The effective rate of hypotension was 73.3% (11/15) in male patients and 100% (10/10) in female patients; The difference was significant (P<0.05). The antihypertensive effective rate of patients under 60 years old was lower than that of patients over 60 years old, and the difference was significant (P<0.05). In patients with dialysis maintenance time of 1-3 years, the effective antihypertensive rate was 62.5% (5/8). The effective hypotensive rate of patients with 3-7 years maintenance was 91.67% (11/12 patients). The effective rate of hypotension was 100% (5/5) in patients with 8-9 years of maintenance dialysis. The longer the dialysis time was, the higher the effective hypotension rate was, and there was significant difference in between the two variables (P<0.05). There was no significant difference in serum calcium concentration and PTH level before and after sequential calcium dialysis treatment (P>0.05). 【Conclusion】 Sequential calcium dialysis can effectively reduce blood pressure during dialysis, and has a significant effect on female patients and elderly patients with longer dialysis maintenance time. It has no significant effect on serum calcium concentration and PTH level, which is safe in clinical application.
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Received: 27 April 2021
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2021, Vol. 38 
