首页|自动化腹膜透析治疗容量超负荷腹膜透析患者的临床观察

自动化腹膜透析治疗容量超负荷腹膜透析患者的临床观察

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目的 探究APD治疗容量超负荷CAPD患者的临床效果.方法 本研究纳入了 2020年9月-2022年9月因容量超负荷就诊的21例CAPD的患者,入院后均给予短期APD治疗.记录患者CAPD和APD治疗时的24h腹膜超滤量、24h尿量、体质量、血压、血肌酐、尿素氮、白蛋白、血糖、血钾、血红蛋白等指标.结果 21例CAPD患者接受短期APD治疗,与CAPD时相比,所有患者的容量超负荷均得到改善,24h超滤量明显增加差异有统计学意义(P<0.001),体质量显著下降差异有统计学意义(P<0.001),舒张压降低差异有统计学意义(P<0.05).而血肌酐、尿素氮、血钾、白蛋白、血糖、血红蛋白、收缩压等差异无统计学意义(P>0.05).结论 APD治疗可以通过增加超滤量来显著改善CAPD患者的容量状态.
Clinical observation of APD in treatment of CAPD patients with volume overload
Objective To investigate the clinical effect of APD in treatment of CAPD patients with volume overload.Methods From September 2020 to September 2022,21 patients with CAPD who were hospitalized due to volume overload were included in this study,and all patients were treated with short-term APD.The peritoneal ultrafiltration volume of 24 hours(hour,h),24h urine volume,body mass,blood pressure,blood creatinine,urea nitrogen,albumin,blood glucose,blood potassium,hemoglobin and other indicators of the patients were recorded during CAPD and APD treatment.Results 21 patients with CAPD received short-term APD treatment,the volume overload of all patients was improved compared with CAPD.The ultrafiltration volume of 24 hours was significantly increased(P<0.001),the body mass was significantly decreased(P<0.001),and the diastolic pressure was decreased(P<0.005).There was no significant difference in serum creatinine,urea nitrogen,blood potassium,albumin,blood glucose,hemoglobin and systolic blood pressure(P>0.05).Conclusions APD treatment can significantly improve the volume status of CAPD patients by increasing ultrafiltration volume.

automated peritoneal dialysiscontinuous ambulatory peritoneal dialysisvolume overloadultrafiltration volume

普文申、张莹、王冰洁、张怡、李春燕、周竹

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保山市人民医院肾病内科,云南 保山 678000

昆明医科大学第一附属医院肾内科,云南 昆明 650032

自动化腹膜透析 持续不卧床腹膜透析 容量超负荷 超滤量

云南省慢性肾病临床医学研究中心云南省兴滇英才支持计划名医项目

202102AA100060

2024

云南医药
中华医学会云南分会

云南医药

影响因子:0.459
ISSN:1006-4141
年,卷(期):2024.45(5)