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学科主题: 临床医学
题名:
What Is the Upper Limitation of Volume in Chinese Peritoneal Dialysis Patients?
作者: Luo, Ya-Jun; Wang, Tao
关键词: Overhydration ; Peritoneal dialysis ; Body composition
刊名: BLOOD PURIFICATION
发表日期: 2011
DOI: 10.1159/000322615
卷: 31, 期:4, 页:289-295
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Hematology ; Urology & Nephrology
研究领域[WOS]: Hematology ; Urology & Nephrology
关键词[WOS]: HEMODIALYSIS-PATIENTS ; BIOIMPEDANCE SPECTROSCOPY ; BODY-COMPOSITION ; BLOOD-PRESSURE ; RENAL-FAILURE ; FLUID STATUS ; DRY-WEIGHT ; HYPERTENSION ; DISEASE ; HEALTH
英文摘要:

Background: Overhydration (OH) is a well-recognized problem in peritoneal dialysis (PD) patients and is an independent risk factor of mortality in this patient population. Achieving normohydration remains an important issue in dialysis therapy. The present study tries to compare clinical signs and find the optimal range for PD patients in China. Methods: A new bioimpedance spectroscopy device [body composition monitor (BCM)], which allows quantitative determination of how much the hydration status deviates from normal ranges (Delta HS), was selected. Blood pressure and Delta HS were analyzed in 92 PD patients from 1 dialysis center and compared with a matched healthy population (n = 45). Statistical analysis was performed using SPSS software, version 16.0 (SPSS Inc., Chicago, III., USA). Results: We took different OH values as cutoff thresholds; predictive accuracy was evaluated with sensitivity and specificity, and a receiver-operating characteristics curve and Youden′s index were adopted. Conclusion: Our data suggest that 2.0 liters is a reasonable cutoff value for Delta HS. This represents an important step towards a more objective choice of strategies for the optimal treatment of hypertension and fluid overload. Copyright (C) 2011 S. Karger AG, Basel

语种: 英语
所属项目编号: 30900681 ; D09050704310905
项目资助者: National Natural Science Foundation of China ; Beijing Municipal Science &amp ; Technology Commission
WOS记录号: WOS:000291159700009
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/63844
Appears in Collections:北京大学第三临床医学院_肾内科_期刊论文

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作者单位: Peking Univ, Hosp 3, Div Nephrol, Beijing 100191, Peoples R China

Recommended Citation:
Luo, Ya-Jun,Wang, Tao. What Is the Upper Limitation of Volume in Chinese Peritoneal Dialysis Patients?[J]. BLOOD PURIFICATION,2011,31(4):289-295.
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