混合透析:两种方法两倍的好处?
Edmund Ym Chung1, Kamal Sud2,3
1Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, NSW, Australia.
概括
混合透析,结合腹膜透析 (PD) 和血液透析 (HD),为PD失败患者提供以患者为中心的替代方案. 本综述探讨了其健康和经济结果,可能指导临床实践.
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
背景情况:
- 腹腔透析 (PD) 是一种首选的替代疗法,与血液透析 (HD) 相比,它具有独立性和成本效益.
- 由于脏或腹膜功能丧失,PD技术的失败通常需要过渡到HD.
- 混合透析 (结合PD和HD) 为从PD过渡的患者提供了标准HD的潜在替代方案.
研究的目的:
- 审查现有的关于从单独的PD过渡到混合透析 (PD和HD) 的患者健康和经济结果的数据.
- 为了告知患者选择,透析处方和混合透析的质量评估.
- 为了解决由于证据有限而缺乏混合透析的当前指导方针倡导.
主要方法:
- 现有文献的叙述性审查.
- 总结健康和经济结果数据.
- 对结合PD和HD的益处,安全性和成本的分析.
主要成果:
- 混合透析可能是患有PD衰竭的患者的可行选择.
- 关于混合透析的特定益处,安全性和成本效益的证据需要进一步调查.
- 目前的临床指导方针并不广泛倡导混合透析.
结论:
- 混合透析应被视为一种以患者为中心的方法,适用于从PD过渡的个人.
- 需要进一步的研究和证据来支持将混合透析纳入临床实践指南.
- 本综述为了解与混合透析相关的结果提供了基础.
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