腹膜平衡试验的临床应用(附8例病例分析)

PERITONEAL EQUILIBRATION TEST IN 8 CAPD PATIENTS

目的：探讨腹膜平衡试验对持续不卧床腹膜透析充分性的应用价值。方法：采用腹膜平衡试验检查法对８例正在进行持续性不卧床腹膜透析患者进行测定。结果：８例中有５例患者腹膜对溶质的清除功能和超滤率是充分或良好的；对其中３例结果不甚满意患者的腹膜透析液交换次数或每次交换流体量进行了调整，调整后再做第２次腹膜平衡试验，取得了满意的结果。结论：腹膜平衡试验是检测腹膜透析患者透析充分性的可靠方法之一。

Objective:To investigate the application of peritoneal equilibration test(PET)in continuous ambulatory peritoneal dialysis(CAPD) patients to evaluate the adequacy of dialysis.Methods:PET was performed in 8 uremic patients undergoing CAPD.Results:Among these 8 patients,5 had satisfactory results with both solute clearance and ultrafiltration.3 of the 8 patients CAPD schedules were modified accroding to the first PET,and then the second PET was carried out.Combined with the second PET results and the patients own feelings,satisfactory results were obtained with the modification of CAPD schedule.Conclusion:PET is one of the good methods to investigate the adequacy of CAPD.