Aggravated cognitive impairment in maintenance hemodialysis patients——3 cases report

Objective To report three cases of aggravated cognitive impairment during hemodialysis and to explore the potential causes and treatments. Methods There were 3 patients,include 2 males and 1 female,developed cognitive impairment during dialysis. They all aged 72 ~ 82 years with dialysis duration of1...

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Main Authors: GAO Zhi-chao, CHEN Yu-qing
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2017-01-01
Series:Linchuang shenzangbing zazhi
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Online Access:http://www.lcszb.com/thesisDetails?columnId=57917655&Fpath=home&index=0
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author GAO Zhi-chao
CHEN Yu-qing
author_facet GAO Zhi-chao
CHEN Yu-qing
author_sort GAO Zhi-chao
collection DOAJ
description Objective To report three cases of aggravated cognitive impairment during hemodialysis and to explore the potential causes and treatments. Methods There were 3 patients,include 2 males and 1 female,developed cognitive impairment during dialysis. They all aged 72 ~ 82 years with dialysis duration of1 ~ 14 years. And other 44 patients with age over 70 years without cognitive dysfunction served as control group include 21 males and 23 females,mean age(76. 6 + 5. 1) years old,the average duration of dialysis(86. 3 + 68. 2) months. Dialysis prescriptions,parameters,and biochemical results of the three patients and the control group were collected. We then compared the characteristics of the 3 patients at stable stage,symptomatic stage and stage after treatment. We also compared the 3 cases with the control group. Results There was no significant difference between the 3 cases and control group in dialysis time,blood flow velocity,URR,spKT/V,serum sodium concentration and osmotic pressure before and after dialysis( P > 0. 05).Conclusions The occurrence of cognitive dysfunction during dialysis in the 3 cases may be associated with decreased tolerance to the osmotic pressure change,elder age,essential brain injury,and complications.The symptoms can be alleviated by a mild dialysis prescription.
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spelling doaj-art-ce1ffc9ee836462889a354d343b01c392025-08-20T03:52:51ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902017-01-0168068357917655Aggravated cognitive impairment in maintenance hemodialysis patients——3 cases reportGAO Zhi-chaoCHEN Yu-qingObjective To report three cases of aggravated cognitive impairment during hemodialysis and to explore the potential causes and treatments. Methods There were 3 patients,include 2 males and 1 female,developed cognitive impairment during dialysis. They all aged 72 ~ 82 years with dialysis duration of1 ~ 14 years. And other 44 patients with age over 70 years without cognitive dysfunction served as control group include 21 males and 23 females,mean age(76. 6 + 5. 1) years old,the average duration of dialysis(86. 3 + 68. 2) months. Dialysis prescriptions,parameters,and biochemical results of the three patients and the control group were collected. We then compared the characteristics of the 3 patients at stable stage,symptomatic stage and stage after treatment. We also compared the 3 cases with the control group. Results There was no significant difference between the 3 cases and control group in dialysis time,blood flow velocity,URR,spKT/V,serum sodium concentration and osmotic pressure before and after dialysis( P > 0. 05).Conclusions The occurrence of cognitive dysfunction during dialysis in the 3 cases may be associated with decreased tolerance to the osmotic pressure change,elder age,essential brain injury,and complications.The symptoms can be alleviated by a mild dialysis prescription.http://www.lcszb.com/thesisDetails?columnId=57917655&Fpath=home&index=0Maintenance hemodialysisCognitive dysfunctionOsmotic pressure
spellingShingle GAO Zhi-chao
CHEN Yu-qing
Aggravated cognitive impairment in maintenance hemodialysis patients——3 cases report
Linchuang shenzangbing zazhi
Maintenance hemodialysis
Cognitive dysfunction
Osmotic pressure
title Aggravated cognitive impairment in maintenance hemodialysis patients——3 cases report
title_full Aggravated cognitive impairment in maintenance hemodialysis patients——3 cases report
title_fullStr Aggravated cognitive impairment in maintenance hemodialysis patients——3 cases report
title_full_unstemmed Aggravated cognitive impairment in maintenance hemodialysis patients——3 cases report
title_short Aggravated cognitive impairment in maintenance hemodialysis patients——3 cases report
title_sort aggravated cognitive impairment in maintenance hemodialysis patients 3 cases report
topic Maintenance hemodialysis
Cognitive dysfunction
Osmotic pressure
url http://www.lcszb.com/thesisDetails?columnId=57917655&Fpath=home&index=0
work_keys_str_mv AT gaozhichao aggravatedcognitiveimpairmentinmaintenancehemodialysispatients3casesreport
AT chenyuqing aggravatedcognitiveimpairmentinmaintenancehemodialysispatients3casesreport