Exploration of a reasonable dialysate temperature setting in hemodialysis for patients with hypertension
Lin-Fang Xu
Chun-Lei Wu
Hong-Mei Sun
Tong-Qiang Liu
摘要：Objective: This study aims to investigate the effect of 4 different dialysate temperatures on blood pressure during hemodialysis for patients with hypertension. <br> Methods: Using a self-controlled method, the patients' body temperature was set as T. Accordingly, the dialysate temperature was set as 37 ℃, Tt0.5 ℃, T, and T-0.5 ℃. The changes in blood pressure, heart rate, mean arterial pressure and dialysis-induced adverse reactions at the 4 different dialysate temper-atures were consistently monitored. <br> Results: Patients who received hemodialysis with 37 ℃ and Tt0.5 ℃ dialysate demonstrated an un-stable blood pressure and a higher incidence of adverse reactions. Patients who received hemodialysis with T and T-0.5 ℃ dialysate showed a relatively stable blood pressure, heart rate, and mean arterial pressure during dialysis. In particular, dialysate at T-0.5 ℃ resulted in the most stable blood pressure, the fewest adverse reactions and the best self-assessed comfort scores (P<0.01). <br> Conclusions: The dialysate temperature during hemodialysis for patients with hypertension should be set to a temperature based on patients' preoperative body temperate T or 0.5 ℃ below T. This practice is suggested to enhance the stability of patients' blood pressure and heart rate during hemodialysis, reduce complications and improve patients' tolerance of hemodialysis.
机标关键词：blood pressureadverse reactionsmean arterial pressureheart rate
论文发表日期：2016-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 133-136 )
英文信息