复方氨基酸加入腹透液改善腹透超滤的探讨
被引量:1
摘要
腹膜透析患者失超滤时,临床上多通过调整透析液在腹腔停留时间或增加透析液中葡萄糖含量来增加超滤。但在某些情况下,由于使用高糖的腹透液受限或上述治疗措施的超滤效果不佳,失超滤改善成为了临床工作的疑难点。为此,我们尝试了使用复方氨基酸加入常规腹膜透析液的方法,来改善患者的失超滤,并取得了较好的效果,现报道如下:
出处
《中国医药导报》
CAS
2007年第12X期250-250,共1页
China Medical Herald
参考文献4
-
1Miyata T,Devuyst O,Kurokawa K,et al.Toward better dialysis compati-bility:advances in the biochemistry and pathophysiology of the peri-toneal membranes[].Kidney International.2002
-
2Taylor GS,Patel V,Spencer S,et al.Long-term use of1.1%amino acid dialysis solution in hypoalbuminemic continuous ambulatory peritoneal dialysis patients[].Clinical Nephrology.2002
-
3Li FK,Chan LY,Woo JC,et al.A3-year,prospective,randomized,con-trolled study on amino acid dialysate in patients on CAPD[].American Journal of Kidney Diseases.2003
-
4Waniewski J,Werynski A,Heimburger O,et al.Effect of alternative os-motic agents on peritoneal transport[].Blood Purification.1993
同被引文献33
-
1王军,贾忠辉,俞雨生.氨基酸腹膜透析液在腹膜透析营养不良患者中的应用前景[J].医学研究生学报,2004,17(6):554-557. 被引量:6
-
2李志明,马健飞,赵钢,马黎,樊怡,贾海燕,韩捷.腹透液相关浓度葡萄糖对体外腹膜间皮细胞的影响(英文)[J].中国现代医学杂志,2007,17(5):513-518. 被引量:6
-
3舒静,王怡,张晓云.黄芪注射液拮抗高糖腹膜透析液对腹膜间皮细胞紧密连接的影响[J].上海中医药大学学报,2007,21(4):50-53. 被引量:11
-
4Sitter T, Sauter M. Impact of glucose in peritoneal dialysis: Saint or sinner?. Perit Dial Int. ,2005,25:415 -425.
-
5Lee HB, Ha H. Mechanisms of epithelial -mesenchymal transit of peritoneal mesothelial cells during peritoneal dialysis. J Korean Med Sci, 2007,22:943 - 945.
-
6Ogata S, Naito T, Yotioka N, et al. Effect of lactate and bicarbonate on human peritoneal mesothelial ceils, fibroblasts and vascular endothelial cells, and the role of basic fibroblast growth factor. Nephrol Dial Trans- plant. ,2004,19( 11 ) :2831 - 2837.
-
7Pajek J, Kveder R, Bren A, et al. Short - term effects of a new bicar- bonate/lactate- buffered and conventional peritoneal dialysis fluid on peritoneal and systemic inflammation in CAPD patients: a randomized controlled study, Petit Dial Int. ,2008 ,28( 1 ) :44 -52.
-
8Montenegro J, Saracho R, Gallardo 1, et al. Use of pure bicarbonatebuffered peritoneal dialysis fluid reduces the incidence of CAPD peritonitis. Nephrol Dial Transplant. , 2007 ,22 ( 6 ) : 1703 - 1708.
-
9Zheng ZH, Anderstam B, Yu X, et al. Bicarbonate - based peritoneal dialysis solution has less effect on ingestive behavior than lactate based peritoneal dialysis solution. Petit Dial Int. , 2009,29 ( 6 ) : 656 - 663.
-
10Fang W, Mullan R, Shah H, et al. Comparison between bicarbonate/ lactate and standard lactate dialysis solution in peritoneal transport and uhrafihration : a prospective, crossover single - dwell study. Perit Dial Int. ,2008,28( 1 ) :35 -43.
-
1姚强,钱家麒,林爱武,任卿.透析初始月的残肾功能及高转运特性对腹膜透析成功率的影响[J].中华内科杂志,1999,38(7):470-472. 被引量:6
-
2石国霞,李雪丹,杨丽.腹膜透析转血液透析原因分析及心理护理的作用[J].上海护理,2010,10(3):61-63. 被引量:5
-
3杨丽,毛志国,孙琳琳,戎殳,徐成刚,张玉强,赵学智,梅长林.腹膜透析患者转血液透析原因及预后分析[J].中国血液净化,2008,7(11):588-590. 被引量:3
-
4罗琼(综述),刘伏友(审校).腹透相关性腹膜炎溶质转运与失超滤研究进展[J].国际泌尿系统杂志,2007,27(4):545-547.
-
5韦永光,林沁,戢晴,郑丰.舒洛地特对腹膜透析大鼠腹膜结构和功能的作用[J].第二军医大学学报,2011,32(3):276-281. 被引量:4
-
6李继承,杨泽然,苏焕兴,张凯.腹腔巨噬细胞产生一氧化氮对腹膜透析失超滤的作用[J].中国医学科学院学报,2000,22(3):280-283.
-
7王丽雅,张鹏,刘丽秋,吕学爱.腹膜透析失超滤机制研究进展[J].社区医学杂志,2011,9(4):44-47.
-
8梁国庆,李继承,杨则然.腹膜透析失超滤与一氧化氮对腹膜淋巴孔调节作用关系的研究[J].数理医药学杂志,2001,14(3):208-209. 被引量:1
-
9林爱武,钱家麒.如何解决腹膜透析患者的容量超荷问题[J].肾脏病与透析肾移植杂志,2006,15(1):82-84. 被引量:8
-
10李正红,曹丽萍,盛梅笑.腹膜间皮细胞在维持腹膜功能及透析效能中的作用机制[J].临床肾脏病杂志,2013(4):186-188. 被引量:2