中国血液净化

中国血液净化 ›› 2025, Vol. 24 ›› Issue (11): 885-888.doi: 10.3969/j.issn.1671-4091.2025.11.002

• 健康体重·医者先行 • 上一篇    下一篇

腹膜透析患者体质量及容量管理的现状与进展

徐潇漪   

  1. 100029 北京，1首都医科大学附属北京安贞医院肾内科
  • 收稿日期:2025-06-03 修回日期:2025-07-22 出版日期:2025-11-12 发布日期:2025-11-12
  • 通讯作者: 徐潇漪 E-mail:doctorxuxiaoyi@126.com
  • 基金资助:
    首都卫生发展科研专项项目(2022-2-2066)；北京市属医院科研培育计划项目(PX2022024)

The present situation and progress of bodyweight and volume management in peritoneal dialysis patients

XU Xiao-yi   

  1. Department of Nephrology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
  • Received:2025-06-03 Revised:2025-07-22 Online:2025-11-12 Published:2025-11-12
  • Contact: 100029 北京，1首都医科大学附属北京安贞医院肾内科 E-mail:doctorxuxiaoyi@126.com

摘要： 腹膜透析(peritoneal dialysis,PD)患者的体质量管理(包括营养状态、肥胖控制)和容量控制(体液平衡)是影响其临床预后的关键因素。近年来，随着营养干预策略、容量评估方法及个体化透析方案的发展，PD患者的体质量管理取得了一定进展，但仍存在很多有待解决的问题。本文基于近年文献，从饮食管理、体育运动、药物治疗、透析处方调整及未来展望等方面综述PD患者的体质量及容量管理的现状与进展。

关键词: 腹膜透析, 体质量, 容量控制, 容量评估

Abstract: The bodyweight management (including nutritional and obesity status) and dry weight assessment (fluid balance) of patients undergoing peritoneal dialysis (PD) are key factors affecting their clinical prognosis. In recent years, progress has been made in weight management for PD patients with the development of nutritional intervention strategies, volume assessment methods, and personalized dialysis prescription. However, many challenges remain unresolved. Based on recent literature and summarizes, this article summarized the current status and progress of weight and volume management in PD patients, covering aspects such as diet management, physical exercise, medication treatment, dialysis prescription adjustment, and future prospects.

Key words: Peritoneal dialysis, Bodyweight, Volume control, Volume assessment

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