腹膜透析是指腹膜透析
1Department of Renal Medicine, Manchester Royal Infirmary, UK.
Lancet (London, England)
|August 25, 1999
概括
腹腔透析是关键的替代疗法,其存活率与血液透析相匹配. 进展解决并发症,改善长期患者的结果和适合更多人.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 脏替代疗法治疗 脏替代疗法治疗
- 透析技术 透析技术
背景情况:
- 腹腔透析 (PD) 是英国的主要替代疗法 (RRT),几乎一半的透析患者使用.
- 患有PD的患者存活率现在与血液透析 (HD) 相当.
- 长期的PD (>8年) 对于许多人来说是具有挑战性的,因为膜炎,接入问题,不充分的透析和患者相关因素等并发症导致脱离HD.
研究的目的:
- 审查腹膜透析的现状和进展.
- 突出PD技术和结果的改进.
- 强调PD在RRT计划中的不可或缺的角色.
主要方法:
- 关于腹膜透析的当前文献和临床实践的综述.
- 对影响PD患者长期留病率的因素的分析.
- 讨论最近在PD的技术和治疗方面的进展.
主要成果:
- 腹膜透析的生存率现在相当于血液透析.
- 尽管有进展,但长期的PD仍受到特定并发症和患者因素的限制.
- 了解腹膜生理学的改进推动了透析,生物相容液体和自动化PD的进展.
结论:
- 腹膜透析是一种成熟且有效的RRT方式.
- 正在进行的技术和治疗方面的进步正在缓解PD并发症,并改善患者留守率.
- 腹膜透析应该被认为是全面的RRT策略的核心组成部分.
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