切换至 "中华医学电子期刊资源库"

中华肾病研究电子杂志 ›› 2015, Vol. 04 ›› Issue (01) : 5 -9. doi: 10.3877/cma.j.issn.2095-3216.2015.01.002

所属专题: 文献

专家论坛

腹膜透析患者的容量管理
林洪丽1,(), 李龙凯1   
  1. 1. 116011 大连医科大学附属第一医院肾内科
  • 出版日期:2015-02-28
  • 通信作者: 林洪丽

Volume management for peritoneal dialysis patients

Hongli Lin1,(), Longkai Li1   

  1. 1. Department of Nephrology, First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
  • Published:2015-02-28
  • Corresponding author: Hongli Lin
  • About author:
    Corresponding author: Lin Hongli, Email:
引用本文:

林洪丽, 李龙凯. 腹膜透析患者的容量管理[J]. 中华肾病研究电子杂志, 2015, 04(01): 5-9.

Hongli Lin, Longkai Li. Volume management for peritoneal dialysis patients[J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2015, 04(01): 5-9.

容量超负荷是腹膜透析患者常见的临床问题,直接影响患者的预后和生活质量。对患者的容量进行规范管理,及时去除容量超负荷原因,尤其是可逆性因素,构建规范的评估流程,进行合理、准确的容量评估,可以有效减少容量超负荷的发生,以保证透析的充分性、提高腹膜透析患者生活质量和生存时间。

Volume overload is a common clinical problem in peritoneal dialysis patients, and can directly affect their prognosis and life quality. In order to effectively reduce the volume overload, ensure the adequacy of dialysis, and improve peritoneal dialysis patients′ life quality and survival time, it is greatly needed to establish standard volume management in peritoneal dialysis patients, timely remove causes of volume overload, especially the reversible factors, build rational evaluation flowsheet, and make reasonable and accurate volume assessment.

[1]
Yu X, Yang X. Peritoneal dialysis in China: meeting the challenge of chronic kidney failure [J]. Am J Kidney Dis, 2015, 65(1): 147-151.
[2]
Van Biesen W, Williams JD, Covic AC, et al. Euro BCM Study Group. Fluid status in peritoneal dialysis patients: the European Body Composition Monitoring (Euro BCM) study cohort [J]. PLoS One, 2011, 6(2): e17148.
[3]
陈香美.腹膜透析标准操作规程(2010)[M].北京:人民军医出版社,2010:107-114.
[4]
Woodrow G. Volume status in peritoneal dialysis [J]. Perit Dial Int, 2011, 31(S2): S77-S82.
[5]
Cader RA, Ibrahim OA, Paul S, et al. Left ventricular hypertrophy and chronic fluid overload in peritoneal dialysis patients [J]. Int Urol Nephrol, 2014, 46(6): 1209-1215.
[6]
Chaudhary K. Peritoneal dialysis drop-out: causes and prevention strategies [J]. Int J Nephrol, 2011, 2011: 434608.
[7]
Kawaguchi Y, Ishizaki T, Imada A, et al. Searching for the reasons for drop-out from peritoneal dialysis: a nationwide survey in Japan [J]. Perit Dial Int, 2003, 23(Suppl 2): S175-S177.
[8]
Lo WK, Bargman JM, Burkart J, et al. Guideline on targets for solute and fluid removal in adult patients on chronic peritoneal dialysis [J]. Perit Dial Int, 2006, 26(5): 520-522.
[9]
Working Group Committee for Preparation of Guidelines for Peritoneal Dialysis, Japanese Society for Dialysis Therapy.2009 Japanese Society for Dialysis Therapy guidelines for peritoneal dialysis [J]. Ther Apher Dial, 2010, 14(6):489-504.
[10]
Blake PG, Bargman JM, Brimble KS, et al. Canadian Society of Nephrology Work Group on Adequacy of Peritoneal Dialysis. Clinical Practice Guidelines and Recommendations on Peritoneal Dialysis Adequacy 2011 [J]. Perit Dial Int, 2011, 31(2): 218-239.
[11]
《维持性腹膜透析》专家协作组. 维持性腹膜透析共识[J].中华肾脏病杂志,2006,22(8):513-516.
[12]
Guo Q, Yi C, Li J, et al. Prevalence and risk factors of fluid overload in Southern Chinese continuous ambulatory peritoneal dialysis patients [J]. PLoS One, 2013, 8(1): e53294.
[13]
Paniagua R, Amato D, Vonesh E, et al. Mexican Nephrology Collaborative Study Group. Effects of increased peritoneal clearances on mortality rates in peritoneal dialysis: ADEMEX, a prospective, randomized, controlled trial [J]. J Am Soc Nephrol, 2002, 13(5): 1307-1320.
[14]
Sipahi S, Hur E, Demirtas S, et al. Body composition monitor measurement technique for the detection of volume status in peritoneal dialysis patients: the effect of abdominal fullness [J]. Int Urol Nephrol, 2011, 43(4): 1195-1199.
[15]
Inal S, Erten Y, Tek N, et al. The effect of dietary salt restriction on hypertension in peritoneal dialysis patients [J]. Turk J Med Sci, 2014, 44(5): 814-819.
[16]
Piccoli A. Bioelectric impedance measurement for fluid status assessment [J]. Contrib Nephrol, 2010, 164: 143-152.
[17]
Agarwal R, Andersen MJ, Pratt JH. On the importance of pedal edema in hemodialysis patients [J]. Clin J Am Soc Nephrol, 2008, 3(1): 153-158.
[18]
Gao N, Kwan BC, Chow KM, et al. Measurements on the routine chest radiograph as prognostic markers in Chinese peritoneal dialysis patients [J]. Clin Nephrol, 2011, 76(1): 16-22.
[19]
Woodrow G, Ronco C. Assessment of fluid status in peritoneal dialysis [J]. Contrib Nephrol, 2012, 178: 164-168.
[20]
Luo YJ, Lu XH, Woods F, et al. Volume control in peritoneal dialysis patients guided by bioimpedance spectroscopy assessment [J]. Blood Purif, 2011, 31(4): 296-302.
[21]
Kwan BC, Szeto CC, Chow KM, et al. Bioimpedance spectroscopy for the detection of fluid overload in Chinese peritoneal dialysis patients [J]. Perit Dial Int, 2014, 34(4): 409-416.
[22]
Cader RA, Gafor HA, Mohd R. Assessment of fluid status in CAPD patients using the body composition monitor [J]. J Clin Nurs, 2013, 22(5-6): 741-748.
[23]
Van Biesen W, Claes K, Covic A, et al. A multicentric, international matched pair analysis of body composition in peritoneal dialysis versus haemodialysis patients [J]. Nephrol Dial Transplant, 2013, 28(10): 2620-2628.
[24]
Crepaldi C, Rosner M, Teixeira C, et al. Is brain natriuretic peptide a reliable biomarker of hydration status in all peritoneal dialysis patients [J]? Blood Purif, 2014, 37(3): 238-242.
[25]
Papakrivopoulou E, Lillywhite S, Davenport A. Is N-terminal probrain-type natriuretic peptide a clinically useful biomarker of volume overload in peritoneal dialysis patients [J]? Nephrol Dial Transplant, 2012, 27(1): 396-401.
[26]
Astbäck J, Fernström A, Hylander B, et al. Taste buds and neuronal markers in patients with chronic renal failure. Perit Dial Int, 1999, 19(Suppl 2): S315-S323.
[27]
方炜,钱家麒,林爱武,等.改良腹膜平衡试验在腹膜透析患者中的应用[J].中华肾脏病杂志,2005,21(12):728-731.
[28]
Mujais S, Nolph K, Gokal R, et al. Evaluation and management of ultrafiltration problems in peritoneal dialysis [J]. Perit Dial Int, 2000, 20(Suppl 4): S5-S21.
[29]
Proscia A. MyPlate education for patients with chronic kidney disease receiving hemodialysis and peritoneal dialysis treatment [J]. J Ren Nutr, 2014,24(3): e23-e25.
[30]
Woodrow G, Davies S. Renal association clinical practice guideline on peritoneal dialysis [J]. Nephron Clin Pract, 2011, 118(Suppl 1): c287-c310.
[31]
Edcalf JF, Harris KP, Walls J. Role of diuretics in the preservation of residual renal function in patients on continuous ambulatory peritoneal dialysis [J]. Kidney Int, 2001, 59(3): 1128-1133.
[32]
Van Olden RW, Guchelaar HJ, Struijk DG, et al. Acute effects of high-dose furosemide on residual renal function in CAPD patients [J]. Perit Dial Int, 2003, 23(4): 339-347.
[33]
Takatori Y, Akagi S, Sugiyama H, et al. Icodextrin increases technique survival rate in peritoneal dialysis patients with diabetic nephropathy by improving body fluid management: a randomized controlled trial [J]. Clin J Am Soc Nephrol, 2011, 6(6): 1337-1344.
[1] 郑庆发, 白建祥, 黄成文. 基于血小板和淋巴细胞计数比值的列线图模型预测腹膜透析相关腹膜炎患者治疗预后的价值[J]. 中华实验和临床感染病杂志(电子版), 2023, 17(02): 117-124.
[2] 王莹莹, 刘莉, 吕瑞兆, 柳洁, 白晓明, 井郁陌. 下腔静脉变异度为指导的围手术期容量管理在腹腔镜肝切除术中的临床应用[J]. 中华普通外科学文献(电子版), 2022, 16(03): 194-198.
[3] 张亚龙, 邱涛, 刘一霆, 王天宇, 孔晨阳, 喻博, 周江桥. 术前透析方式及时长对肾移植预后的影响[J]. 中华移植杂志(电子版), 2023, 17(02): 98-103.
[4] 罗阳燕, 王少清, 高芳, 沈艳, 张万军, 李莉. 尿毒清颗粒对腹膜透析患者残余肾功能及腹透液纤连蛋白和TGF-β1水平的作用[J]. 中华肾病研究电子杂志, 2023, 12(04): 200-204.
[5] 陈客宏. 干细胞外泌体防治腹膜透析腹膜纤维化新技术研究[J]. 中华肾病研究电子杂志, 2023, 12(03): 180-180.
[6] 于梦园, 杨立明, 朱学研, 张晓暄, 刘声茂, 谢舜昀, 倪册, 庄小花, 崔文鹏. 肠源性腹膜透析相关性腹膜炎治疗失败的危险因素:多中心回顾性研究[J]. 中华肾病研究电子杂志, 2023, 12(03): 127-133.
[7] 樊佩琦, 闫燕, 李晓霞, 武玲宇, 郭罡玲, 李静, 王利华. 2020年山西省腹膜透析患者贫血的流行病学调查及相关因素分析[J]. 中华肾病研究电子杂志, 2023, 12(03): 121-126.
[8] 黎金秋, 韦晓芳, 王成玉. 腹膜透析相关性腹膜炎细菌谱变迁及药敏分析[J]. 中华肾病研究电子杂志, 2022, 11(05): 264-269.
[9] 蔡青利, 汪晓月, 蔡明玉, 王玲, 喻芳, 陈佳, 陈客宏, 何娅妮. 干细胞外泌体减轻高糖腹膜透析液诱导的腹膜炎症[J]. 中华肾病研究电子杂志, 2021, 10(05): 252-258.
[10] 梁嫦娜, 吕晶, 李昭, 钱宝, 毋欣桐, 路万虹. 腹膜透析患者膳食情况调查及营养不良相关因素分析[J]. 中华肾病研究电子杂志, 2021, 10(04): 214-219.
[11] 张赟辉, 罗军, 刘栗丽, 汪宏, 耿克明. 腹膜透析与血液透析对老年终末期肾病患者营养状况及炎症反应的影响[J]. 中华临床医师杂志(电子版), 2023, 17(04): 419-423.
[12] 金莉, 刘丽, 金程, 郑多娟, 王娟. 基于IKAP理论的护理专案改善腹膜透析患者自我感受与期望水平[J]. 中华临床医师杂志(电子版), 2022, 16(12): 1256-1261.
[13] 杨旭希, 郑吉洋, 陈秀梅, 陈淑玲, 杨峻青, 苏芝琪, 左咏臻, 广东省医师协会心力衰竭专业医师分会, 广东省护士协会介入护士分会. 慢性心力衰竭患者容量管理护理专家共识[J]. 中华介入放射学电子杂志, 2023, 11(03): 201-207.
[14] 张诚霖, 李学美, 巫惠心, 李晓燕. 心力衰竭患者容量管理护理质量评价指标体系的构建[J]. 中华心脏与心律电子杂志, 2023, 11(03): 173-178.
[15] 田丹阳, 唐雯, 樊东升. 腹膜透析患者脑小血管病患病状况分析[J]. 中华脑血管病杂志(电子版), 2021, 15(04): 232-236.
阅读次数
全文


摘要