中国血液净化

中国血液净化 ›› 2021, Vol. 20 ›› Issue (04): 277-280.doi: 10.3969/j.issn.1671-4091.2021.04.014

• 综述 • 上一篇    下一篇

递增式血液透析和透析患者死亡率

吕诗凡1,倪兆慧1   

  1. 1上海交通大学医学院附属仁济医院肾脏科
  • 收稿日期:2020-11-09 修回日期:2020-12-07 出版日期:2021-04-12 发布日期:2021-04-12
  • 通讯作者: 倪兆慧 profnizh@126.com E-mail:profnizh@126.com
  • 基金资助:
    国家自然科学基金(81770666)；上海市卫生和计划生育委员会综合医院中西医结合专项基金(ZHYYZXYJHZX-1-02)；上海市卫生和计划生育委员会研究课题(201740037)；上海市中西医临床协作试点建设项目[ZY (2018-2020)-FWTX-1001]

Progress in incremental hemodialysis

  1. 1Department of Nephrology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China
  • Received:2020-11-09 Revised:2020-12-07 Online:2021-04-12 Published:2021-04-12

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摘要： 【摘要】维持性血液透析(hemodialysis,HD)患者早期死亡率很高，这可能与初始阶段透析过于频繁有关。目前大多数国家初始透析时采用1 周3 次的透析方式，而忽略了患者自身残余肾功能(residual renal function,RRF)的作用。近年来，探索更简便的评估RRF 的方法的同时，递增式血液透析的关注度也不断提高。多数研究认为，递增式HD 可有效减缓RRF 下降，并有不差于常规HD 的长期生存率。但递增式HD患者早期死亡率相关研究较少。本文将就近年来递增式HD 相关研究进展进行简述。

关键词: 血液透析, 递增式血液透析, 残余肾功能, 早期死亡率

Abstract: 【Abstract】Early mortality is higher in maintenance hemodialysis (HD) patients, probably due to the frequent dialysis at the initial stage. Conventional HD of threEtimes per week at the initial stage is currently adopted by most countries, which may neglect the role of residual renal function (RRF) in these patients. The simple way to estimate the RRF is explored in recent years, and at the same time the value of incremental HD has been emphasized. Most studies showed that incremental HD was useful for the preservation of RRF, with the long-term survival rate similar to that using conventional HD. However, the research about early mortality in the patients undergoing incremental HD was scant. This article briefly describes the latest research progress in incremental HD.

Key words: Hemodialysis, Incremental hemodialysis, Residual renal function, Early mortality

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