Bartaula Bijay, Subedi Manish, Kumar Mayank Mishra, Shrestha Monika, Bichha Navneet, Mudbhari Bandana
Department of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Medical Student, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Saudi J Kidney Dis Transpl. 2019 Jan-Feb;30(1):208-214.
The burden of chronic kidney disease (CKD) is increasing worldwide. Renal replacement therapy is the lifesaving treatment modality in end-stage renal disease. Among various renal replacement modalities, hemodialysis (HD) is widely preferred one. Intradialytic complications are common and mostly inevitable. This study was conducted to determine pattern of intradialytic complications and its associated factors. This is a cross-sectional study conducted for six months duration among all CKD patients who were undergoing maintenance HD in B. P. Koirala Institute of Health Sciences, Dharan, Nepal. Of 228 patients, most were male 141 (61.8%) with median age 50 years (22-77). In this study, diabetic nephropathy (38.2%) was the most common etiology of CKD. Among 228 patients, complications were noted in 133 (58.3%) patients. Common complications were chills and rigor (44.3%), backache (30.7%), and hypotension (27.2%) in the study patients. Intradialytic complications were significantly associated with increasing age (P <0.001) and irregular HD (P <0.001). The common complications among CKD patient undergoing maintenance HD were chills, backache, and hypotension. Increasing age and irregular HD were significantly associated with intradialytic complications.
慢性肾脏病（CKD）在全球范围内的负担正在增加。肾脏替代治疗是终末期肾病的救命治疗方式。在各种肾脏替代方式中，血液透析（HD）是广泛首选的一种。透析期间并发症很常见且大多不可避免。本研究旨在确定透析期间并发症的模式及其相关因素。这是一项在尼泊尔达兰的BP柯伊拉腊健康科学研究所对所有接受维持性血液透析的CKD患者进行的为期六个月的横断面研究。在228名患者中，大多数为男性，有141名（61.8%），中位年龄为50岁（22 - 77岁）。在本研究中，糖尿病肾病（38.2%）是CKD最常见的病因。在228名患者中，133名（58.3%）患者出现了并发症。研究患者中常见的并发症为寒战和发抖（44.3%）、背痛（30.7%）和低血压（27.2%）。透析期间并发症与年龄增长（P <0.001）和不规律血液透析（P <0.001）显著相关。接受维持性血液透析的CKD患者中常见的并发症为寒战、背痛和低血压。年龄增长和不规律血液透析与透析期间并发症显著相关。
