KDIGO关于血液净化争议研讨会相关议题的解读与思考

Interpretation and consideration of related issues at the KDIGO controversies conference on blood purification

血液净化是终末期肾脏病(ESRD)的主要治疗方法,主要通过除去血液中某些致病物质,净化血液,达到治疗疾病的目的。改善全球肾脏病预后组织(Kidney Disease:Improving Global Outcomes,KDIGO)2018年研讨会指出:应根据ESRD患者的意愿、医疗政策、医疗基础设施等确定最适合患者的透析治疗方法,提供个性化的治疗服务。在临床实践中要根据风险方程式确定透析开始时机、及时对患者进行转诊,使患者能够提前准备透析通路,从而为患者提供更高质量的目标导向透析治疗,达到及时改善症状、提高生活质量之目的。本文就本次研讨会的主要内容如透析开始时机、透析方式选择、透析通路和透析处方等有关议题进行了解读。

Blood purification is the main treatment method for end-stage renal disease(ESRD).It mainly purifies the blood by removing certain pathogenic substances from the blood to achieve the purpose of treating the disease.The KDIGO controversies conference on blood purification in 2018 pointed out that the most suitable dialysis treatment method should be determined according to the preferences of ESRD patients,medical policies,and medical infrastructure,etc,so as to provide personalized treatment services.In clinical practice,it is necessary to determine the starting time of dialysis according to the risk equation and refer patients in time,so that the patients can be prepared for dialysis access in advance,and provided with higher-quality goal-oriented dialysis treatment to achieve the purpose of timely improvement of symptoms and quality of life.This article explained the main contents of this conference,such as the starting timing of dialysis,the choice of dialysis modes,the dialysis access,as well as the dialysis prescription.