超纯透析液对维持性血液透析患者透析充分性的影响  

Effects of Ultra Pure Dialysis Solution on Dialysis Adequacy in Maintenance Hemodialysis Patients

作　　者：武剑[1] 贾强[2] Wu Jian;Jia Qiang(People's Hospital of Beijing Daxing District, Beijing 102600, China;Xuanwu Hospital, Capital Medical University, Beijing 100053, China)

机构地区：[1]北京市大兴区人民医院肾内科,北京102600 [2]首都医科大学宣武医院肾科,北京100053

出　　处：《中国医药导刊》2016年第7期669-670,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨使用超纯透析液对维持性血液透析患者透析充分性的影响。方法：40例维持性血液析患者，尿量＜100ml/日，透析3次/周，4h/次，用透析用水及透析液透析1～8年。改用超纯透析液行血液透析6～7月, 连续2月，记录透析前后尿素、脱水量、透析后体重、透析时间；计算尿素清除指数（Kt/V），对比两组数据。结果：40例改用超纯透析液前患者，平均kt/v值为（1.34±0.15），改用超纯透析液后，平均kt/v值为（1.46±0.13），透析前后比较有显著性差异。结论：使用超纯透析液能显著改善维持性血液透析患者透析充分性，提高患者生存质量。Objective: To investigate the effect of ultra pure dialysis solution on dialysis adequacy in maintenance hemodialysis patients.Methods: 40 cases of maintenance hemodialysis patients, urine volume <100ml/, dialysis 3 times/week, 4h/times, with dialysis water anddialysis fluid for 1 to 8 years. Using ultra pure dialysis fluid for hemodialysis 6~7 month, before and after dialysis, dialysis urea, dehydration,weight, dialysis time, the calculation of urea clearance index (Kt/V), compared with two sets of data. Results: 40 cases of patients with superpure dialysis fluid before, the average kt/v value was (1.34 ±0.15), after the use of ultra pure dialysis solution, the average kt/v value was(1.46±0.13), compared with before and after dialysis, there were significant differences. Conclusion: The use of ultra pure dialysis fluid cansignificantly improve the dialysis adequacy in maintenance hemodialysis patients, and improve the quality of life of patients.

关 键 词：维持性血液透析 超纯透析液 尿素清除指数 透析充分性 

分 类 号：R692.5[医药卫生—泌尿科学]