[Influence of modeling sodium on the dialysis disequilibrium syndrome in hemodialysis].
OBJECTIVE
To observe the influence of modeling sodium on the dialysis disequilibrium syndrome in hemodialysis.


METHODS
Sixteen patients received hemodialysis for the first time. Eight of them received the hemodialysis in the order of common sodium, modeling sodium, common sodium, and modeling sodium, whereas the other 8 patients were treated in the order of modeling sodium, common sodium, modeling sodium, and common sodium. The symptoms of the dialysis disequilibrium syndrome were observed and blood sodium concentration was examined before and after the dialysis.


RESULTS
The main symptoms of the dialysis disequilibrium syndrome were headache, nausea, vomiting, hypertension, and dyspnea. Modeling sodium hemodialysis could significantly decrease the occurrence of these symptoms (P < 0.05). The blood sodium concentration after the hemodialysis was not significantly changed compared with that before the hemodialysis (P > 0.05).


CONCLUSIONS
Modeling sodium hemodialysis can effectively prevent the occurrence of the dialysis disequilibrium syndrome without increasing the natrium load of the patients.
Liu
Hong
H
Department of Nephrology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Zhu
Jian-ling
JL
Chen
Xing
X
D000136:Acid-Base Equilibrium; D000293:Adolescent; D000328:Adult; D000368:Aged; D001784:Blood Gas Analysis; D001826:Body Fluids / Q000378:metabolism; D002648:Child; D005110:Extracellular Space / Q000378:metabolism; D005260:Female; D015312:Hemodialysis Solutions / Q000737:chemistry* / Q000493:pharmacokinetics; D006801:Humans; D007676:Kidney Failure, Chronic / Q000378:metabolism / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009994:Osmolar Concentration; D006435:Renal Dialysis / Q000009:adverse effects*; D012964:Sodium / Q000378:metabolism*; D013577:Syndrome; D014882:Water-Electrolyte Balance
D015312:Hemodialysis Solutions; D012964:Sodium