Chinese Journal of Blood Purification ›› 2014, Vol. 13 ›› Issue (06): 445-449.doi: 10.3969/j.issn.1671-4091.2014.06.007

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Value of plasma B-type natriuretic peptide in assessing fluid overload in hemodialysis patients

  

  • Received:2013-08-22 Revised:2014-04-10 Online:2014-06-12 Published:2014-06-12
  • Contact: HUANG Wen E-mail:trhuangwen@163.com

Abstract: 【Abstract】 Objective To explore the value of plasma B-type natriuretic peptide in assessing fluid volume in hemodialysis patients. Methods Eighty-seven hemodialysis patients were divided into four groups according to the plasma BNP level. The relationship between plasma BNP level and post-dialysis body weight of MHD patients was analyzed. Results The plasma BNP level and post-dialysis body weight decreased significantly in groups with higher plasma BNP level(p<0.05). There was significant difference of BNP and post-dialysis body weight among different groups. The baseline plasma BNP level was positively correlated with decreasing of post-dialysis body weight(R=0.763,p<0.001). The changes of post-dialysis body weight, systolic BP, albumin and hemoglobin were correlated with the change of plasma BNP(R=0.823,R2=0.678).The area under ROC curve was 0.918(p<0.001). Conclusions The plasma BNP level could be the effective index to determine chronic volume overload in hemodialysis patients.

Key words: B-type natriuretic peptide, Hemodialysis