IR@PKUHSC  > 北京大学第三临床医学院
学科主题临床医学
Adequacy of peritoneal dialysis: Kt/V revisited
Wang, L.1; Wang, T.2
关键词Kt/v Dialysis Index (Di) Solute Removal Index (Sri) Peritoneal Dialysis
刊名European Review for Medical and Pharmacological Sciences
2015-04-01
19期:7页:1272-1275
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Pharmacology & Pharmacy
研究领域[WOS]Pharmacology & Pharmacy
关键词[WOS]CAPD PATIENTS ; NUTRITION
英文摘要

OBJECTIVE: Kt/V urea has been used to assess adequacy of peritoneal dialysis. However, Kt/V urea only reflects the clearance of solute without taking into consideration the effects of dietary protein intake (DPI). The objective of this study is to evaluate the value of Kt/V based on nitrogen balance and to observe if it is the best adequacy index.

METHODS: On the premise that nitrogen balance is obtained, we calculated the minimal adequate dialysate volume and dialysis index (DI), Kt/V and solute removal index (SRI). We compared the values of DI, Kt/V and SRI to evaluate the adequacy of peritoneal dialysis.

RESULTS: Kt/V was changed with DPI and body weight of continuous ambulatory peritoneal dialysis (CAPD) patients. We cannot define adequate dialysis with a single value while DPI and body weight are different since CAPD, SRI and Kt/V are numerically equal. However, dialysis index (DI) can reflect the minimal adequate dialysate volume when DPI and body weight are different and, thus, reflects the adequacy of dialysis.

CONCLUSIONS: DI reflects the balance between DPI and solute clearance; thus, it is more useful to evaluate dialysis adequacy than Kt/V and SRI in clinically stable peritoneal dialysis patients.

语种英语
WOS记录号WOS:000353587000024
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/50765
专题北京大学第三临床医学院
北京大学公共卫生学院_公共卫生学院
作者单位1.Jiangsu Xuzhou First Peoples Hosp, Dept Internal Med, Xuzhou, Peoples R China
2.Peking Univ, Hosp 3, Dept Internal Med, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Wang, L.,Wang, T.. Adequacy of peritoneal dialysis: Kt/V revisited[J]. European Review for Medical and Pharmacological Sciences,2015,19(7):1272-1275.
APA Wang, L.,&Wang, T..(2015).Adequacy of peritoneal dialysis: Kt/V revisited.European Review for Medical and Pharmacological Sciences,19(7),1272-1275.
MLA Wang, L.,et al."Adequacy of peritoneal dialysis: Kt/V revisited".European Review for Medical and Pharmacological Sciences 19.7(2015):1272-1275.
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