腹膜转运功能对腹透充分性的影响──附30例平衡试验测定  

Influence of the peritoneal transport abilityon the dialysis adequacy

作　　者：俞雨生[1] 王慧娟 李勇 肖申[1] 季大玺[1] 黎磊石[1] 

机构地区：[1]南京金陵医院解放军肾脏病研究所

出　　处：《肾脏病与透析肾移植杂志》1995年第4期332-333,共2页Chinese Journal of Nephrology,Dialysis & Transplantation

摘　　要：本文测定３０例腹透患者的腹膜转运功能．其中高标准转运４例（１３．３％），高于平均转运１７例（５６．７％），低于平均转运８例（２６．７％）以及低转运１例（３．３％）。按普通方式透析（２％透析液２０００ｍｌ１／４ｈ×４次／ｄ），高和低标准转运的患者透析效能明显地低于其它转运类型。这些患者苦根据其腹膜转运类型更改透析方案，则能明显地增加透析效能。he standard peritoneal equilibrationtest(PET) was performed in 30 patients onCAPD. Patients were classfied as low (LO .n = 1 ) . low average ( LA . n = 8 ) . high aver-age (HA, n = 17) . and high (HI. n =4 )transporters based on the dialysate/plasmacreatinine (D/P, Cr) after 4 hour dwells.After 5. 8 ( 1 ～ 48) months on CAPD . the pa-tients PET KT/V urea and creainine cler-ance (CC) were assessed. We found that patients were older in LO and LA groups thanin HI and HA groups (51. 5± 9. 1 : 41. 6±.13. 9yr . P<0. 05 ). The adequacy in HI andLO groups was lower than other groups.After changing dialysate dwell time just accorduig to the PET in 4 patients with HIand patients with LA group,the KT/V ureaand CC were all increased significantly (P<0. 01 ). In conclusion . the peritoneal trans-port ability was much different among individuals ,which correlated to dialysis adequacy strongly. The standard peritoneal dialysiswas not suitable for all patients, whichshould be adJusted according to PET.

关 键 词：腹膜平衡试验 腹膜透析 透析效能 

分 类 号：R459.5[医药卫生—治疗学]