对血液透析患者干体重的临床认识  

Clinical understanding about the dry weight of hemodialysis patients

作　　者：毕礼明[1] 朱冬云[1] 高峻[1] 马济佩[1] 

机构地区：[1]南京中医药大学无锡附属医院无锡市中医医院肾病科,江苏无锡214001

出　　处：《医学争鸣》2014年第6期55-58,共4页Negative

基　　金：江苏省无锡市医院管理中心课题(YGM1116);江苏省无锡市卫生局面上项目(MD201208);江苏省科技基础设施建设计划(BM2008152)

摘　　要：尽管透析治疗不断进展,干体重仍是血液透析患者最重要和关键的临床问题之一。临床实践中,确切的评估血液透析患者干体重依然存在挑战,因此临床医师需要更多关注干体重。容量超负荷与高血压、EPO抵抗、心衰、营养不良等密切相关,而超滤过多同样存在风险。目前仍没有确切的试验证实辅助的技术方法评估干体重优于临床方法,主观的临床体检仍是评估干体重的标准方法。Despite advancements in dialysis therapy, dry weight evaluation is still one of the most important and central clinical problems for the hemodialysis patients. In clinical practice, exact estimation of dry weight of hemodialysis patients remains a major challenge. The doctors should pay more attention to the accurate dry weight. Volume excess is thought to be closely related to the pathogenesis of hypertension, rHuEPO hyporesponsiveness, chronic heart thilure and malnutrition, and so on. And over ultrafiltration also brings many risks. However, so far there has not been any definitive trial demonstrating that dry weight management guided by an assistive technology is superior to the clinical method. The subjective clinical examination remains the standard of care in managing volume removal in chronic dialysis.

关 键 词：血液透析 干体重 治疗 

分 类 号：R5[医药卫生—内科学]