增量透析:从儿科角度对文献进行了综述
1Division of Pediatric Nephrology, Department of Pediatrics, Seattle Children's, University of Washington, Seattle, WA, USA. Raj.munshi@seattlechildrens.org.
Pediatric nephrology (Berlin, Germany)
|June 12, 2023
概括
在患有晚期慢性病的儿童中,增量透析可以保持功能残留. 这种方法将透析量身定制为个人需求,有可能改善结果并支持增长和发展.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 儿科脏病学 儿科脏病学
- 脏替代疗法治疗 脏替代疗法
背景情况:
- 晚期慢性病 (CKD) 需要进行置换疗法 (KRT).
- 目前的KRT处方往往是标准化的,忽视了患者的变化和功能衰竭的原因.
- 在透析中的慢性病患者中,保留残留功能 (RKF) 与更好的结果有关.
研究的目的:
- 探索渐进性透析在患有晚期CKD的儿科患者的潜在好处.
- 评估增量透析是否可以帮助在接受KRT的儿童中保持RKF.
- 评估增量透析的适用性,以优化儿科CKD的生长和发育.
主要方法:
- 对现有关于成人和儿科增量透析的文献的综述.
- 对影响KRT启动和处方的因素的分析.
- 考虑残留功能保存策略.
主要成果:
- 增量透析,减少透析剂量,在成年人中建立以保持RKF.
- 患者的特征和衰竭的病因有很大的不同.
- 保持RKF与透析中的CKD患者的改善结果有关.
结论:
- 渐进性透析可能是选择儿科慢性病患者的可行策略.
- 这种方法可以帮助保护RKF,同时优先考虑增长和发展.
- 个性化KRT,包括增量透析,在儿科中需要进一步考虑.
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