血液透析人群高血压的管理：文献综述
Management of hypertension in the hemodialysis population: a review of the literature.
作者信息
Enam Nabela, Kakkad Kavita, Amin Akshay, Lever Carole
机构信息
School of Medicine, University of Maryland, Baltimore, MD, USA ; Medstar Union Memorial Hospital, Baltimore, MD, USA.
Medstar Union Memorial Hospital, Baltimore, MD, USA.
出版信息
J Community Hosp Intern Med Perspect. 2014 Jul 31;4(3). doi: 10.3402/jchimp.v4.24055. eCollection 2014.
OBJECTIVE
The objective of this paper was to propose an algorithm for approaching hypertensive hemodialysis patients admitted to the hospital for hypertensive urgency.
METHODS
A literature search was conducted using PubMed (Medline). Articles selected were limited to humans and the English language.
RESULTS
WE IDENTIFIED EIGHT MANAGEMENT MODALITIES INCLUDING: short-daily and nocturnal dialysis, sodium restriction, sodium profiling, antihypertensive medications, sympathetic denervation, bilateral nephrectomy, and bioimpedance spectroscopy. The benefits and drawbacks of each were investigated and discussed before implementation into the algorithm.
DISCUSSION
The algorithm presented suggests a linear approach to patient care, but treatment modalities may not be mutually exclusive, and additional factors, such as patient compliance and individual health status, should be taken into account to provide patients with optimum care.
目的
本文的目的是提出一种针对因高血压急症入院的高血压血液透析患者的处理算法。
方法
使用PubMed（医学索引）进行文献检索。所选文章仅限于人类且为英文。
结果
我们确定了八种管理模式，包括：每日短程和夜间透析、钠限制、钠剖析、抗高血压药物、交感神经去神经支配、双侧肾切除术和生物电阻抗光谱法。在将每种模式纳入算法之前，对其利弊进行了研究和讨论。
讨论
所提出的算法建议采用线性方法进行患者护理，但治疗模式可能并非相互排斥，并且应考虑其他因素，如患者的依从性和个体健康状况，以便为患者提供最佳护理。
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