[摘要] 目的 探讨2型糖尿病合并高血压的维持性血液透析(maintenance hemodialysis，MHD)患者透析过程中血压的临床特点。方法 选取41例MHD高血压患者，根据患者是否合并2型糖尿病分为糖尿病组(n=21)和非糖尿病组(n=20)。分别检测两组患者临床及生物学指标、透析过程中收缩压和舒张压的平均值及血压变异系数。结果 糖尿病组和非糖尿病组比较脉压差(P=0.00)，收缩压平均值(P=0.00)，舒张压变异系数(P=0.14)，NT-proBNP(P=0.00)差异有统计学意义(P<0.05)。结论 糖尿病MHD患者透析过程中血压较非糖尿病MHD患者有显著差异。

    [关键词] 维持性血液透析;糖尿病;高血压

    [中图分类号] R692.5 [文献标识码] A [文章编号] 1672-4062(2019)06(b)-0053-03

    [Abstract] Objective To investigate the clinical characteristics of blood pressure during dialysis in patients with type 2 diabetes mellitus complicated with hypertension and maintenance hemodialysis(MHD). Methods 41 patients with MHD hypertension were enrolled. The patients were divided into the diabetic group(n=21) and the non-diabetic group(n=20) according to whether the patients had type 2 diabetes. The clinical and biological indicators of the two groups ......