中国血液净化 ›› 2023, Vol. 22 ›› Issue (04): 292-295.doi: 10.3969/j.issn.1671-4091.2023.04.010

• 综述 • 上一篇    下一篇

中性pH-低葡萄糖降解产物腹膜透析液临床应用进展

吴海珊    毛海萍    陈 崴    阳 晓   

  1. 510080 广州,1中山大学附属第一医院肾内科  2卫健委和广东省重点实验室
  • 收稿日期:2022-12-08 修回日期:2022-12-22 出版日期:2023-04-12 发布日期:2023-04-12
  • 通讯作者: 阳晓 E-mail:yxiao@mail.sysu.edu.cn

Research progresses in the pH-neutral, low-glucose degradation product dialysates for peritoneal dialysis 

WU Hai-shan, MAO Hai-ping, CHEN Wei, YANG Xiao   

  1. Department of Nephrology, the First Affiliated Hospital, Sun Yat-sen University; 2Key Laboratory of Nephrology, Ministry of Health, Guangzhou 510080, China
  • Received:2022-12-08 Revised:2022-12-22 Online:2023-04-12 Published:2023-04-12
  • Contact: 510080 广州,1中山大学附属第一医院肾内科 2卫健委和广东省重点实验室 E-mail:yxiao@mail.sysu.edu.cn

摘要: 传统腹膜透析液的高浓度葡萄糖、高葡萄糖降解产物、高糖基化终产物、低pH值等生物不相容性是影响腹膜透析(peritoneal dialysis,PD)疗效、导致PD技术失败的主要原因。中性pH-低葡萄糖降解产物(glucose degradation products,GDP)透析液是一种生物相容性透析液,有研究表明中性pH-低葡萄糖降解产物对终末期肾病患者的影响优于传统腹膜透析液,特别对于长透析患者。因此,本文就中性pH-低GDP腹膜透析液对终末期肾病腹膜透析患者残余肾功能、腹膜功能、腹膜炎发生率、患者生存及技术生存、腹膜结构等方面影响的研究进展进行综述。

关键词: 腹膜透析, 终末期肾病, 中性pH-低葡萄糖降解产物腹膜透析液

Abstract: Conventional glucose-based peritoneal dialysates with higher glucose concentrations, high glucose degradation products, advanced glycation end products and lower pH have been recognized as bio-incompatible, affecting peritoneal dialysis efficacy and leading to technique failure. pH-neutral, low-glucose degradation product dialysates are relatively biocompatible, and are thought to be superior to the conventional dialysates especially in long-term use of peritoneal dialysis. In this paper, we review the recent advances in pH-neutral, low-glucose degradation product dialysates on the residual renal function, peritoneal function, peritonitis rate, patient and technique survival, and peritoneum pathology in peritoneal dialysis patients.

Key words: Peritoneal dialysis, End stage renal disease, pH-neutral, low-glucose degradation product solution

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