| 摘要: |
| ［摘要］ 目的 探讨透析间期体重增长率、干体重、体重指数、超滤量、透析体重下降率对血液透析充分性的影响。方法 回顾性分析58例维持性血液透析患者的透析充分性（尿素清除指数spKt/V）与透析间期体重增长、透析间期体重增长率、干体重、体重指数、超滤量、透析体重下降率的相关性。结果 体重指数、干体重与透析充分性呈负相关(P<0.01)，超滤量、透析间期体重增长与透析充分性的相关性不明显（P>0.05）；透析间期体重增长率、体重下降率与透析充分性呈正相关(P<0.05)。结论 维持性血液透析患者应维持BMI在正常范围之内，不同的患者透析间期体重增长的限制应不同。 |
| 关键词: 血液透析 透析充分性 透析间期体重增长率 |
| DOI：10.3969/j.issn.1674-3806.2013.04.14 |
| 分类号:R 58 |
| 基金项目: |
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| Study on the relationship of interdialytic weight gain rate with hemodialysis adequacy |
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ZHAO Jie, ZHAO Zhan-yun
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Weifang Medical University, Shandong 261042,China
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| Abstract: |
| ［Abstract］ Objective To study the effect of interdialytic weight gain rate(IDWG%),dry weight(DW),body mass index(BMI),ultrafiltration volume(UF) and intradialytic weight loss rate on hemodialysis adequacy(spKt/V).Methods A retrospective analysis was performed on the records of 58 patients who received maintenance hemodialysis (MHD)for at last 6 months at Weifang People’s Hospital.The data were used to calculate IDWG%, DW, BMI, Intradialytic weight loss rate. And then, the correlation of spKt/V with BMI, UF, IDWG, IDWG%,DW, intradialytic weight loss rate were analyzed.Results DW,BMI were negatively related to spKt/V(P<0.01). UF, IDWG was irrelevant to spKt/V(P>0.05). IDWG%, intradialytic weigh loss had a positive relationship with spKt/V(P<0.05).Conclusion In order to improve quality of life, MHD patients should keep their BMI within the normal range and different patients should have different rules to control weight gain during MHD period. |
| Key words: Hemodialysis Hemodialysis adequacy Interdialytic weight gain |
