Effect Of Sodium Combining With Ultrafiltration Profiling Hemodialysis On Hemodialysis-related Symptoms

Objectives: To study the effect on the patients receiving hemodialysis of sodium profile combined with ultrafiltration profile (PHD) to reduce the incidence of dialysis side syndrome. To discuss the individual sodium and ultrafiltration profile for patients.Methods: 20 patients receiving regular hemodialysis were chosen. Each patient received conventional hemodialysis(CHD) first and then received sodium and UF step-down profile hemodialysis. Their blood pressure, pulse, electrolyte and acid-base toxin were monitored and complications incidence was recorded. The urea clearane and were calculated.Results: according to CHD the incidence of hypotension is 15%, the incidence of muscle cramps, nausra, headache is 9.1%, 7.5%, 7.5%, the hypertention are reported in 28.3%; to PHD the incidence of hypotension, muscle cramps are significantly decrease(P < 0.05); the incidence of the hypertension occurred during and after dialysis is decreased(P<0.05).theultrafiltration of PHD is increased; and the dry weight in PHD is less than the CHD(P<0.05); there are no significant difference of electrolyte between PHD and CHD.Conclusion: PHD can decrease the incidence of the complications such as hypotension and muscle cramps during dialysis and increase the tolerance of ultrafiltration without sodium gain-related complications.