国际移植与血液净化杂志
國際移植與血液淨化雜誌
국제이식여혈액정화잡지
INTERNATIONAL JOURNAL OF TRANSPLANTATION AND HEMOPURIFICATION
2012年
2期
11-14
,共4页
曹钋%任可%钟剑%马玲玲%赵虎康%王玫%刘福生%黄允瑜
曹釙%任可%鐘劍%馬玲玲%趙虎康%王玫%劉福生%黃允瑜
조박%임가%종검%마령령%조호강%왕매%류복생%황윤유
直接节段多频率生物电阻抗测试法%细胞内水%干体重%维持性血液透析
直接節段多頻率生物電阻抗測試法%細胞內水%榦體重%維持性血液透析
직접절단다빈솔생물전조항측시법%세포내수%간체중%유지성혈액투석
Direct segmental multi-frequency bioelectrical impedance analysis method%Intracellular water%Dry weight%Maintenance hemodialysis
目的 初步分析在维持性血液透析患者中应用Inbody S10评估体液分布情况并制定干体重的效果.方法 选择北京东直门医院和北京东方医院血液净化中心维持性血液透析患者,在透析前、后应用Inbody S10多频生物电阻抗仪进行测量并分别计算干体重,同步记录患者透析前、后的体重及设定的超滤量,采用统计学方法进行分析.结果 最终纳入103例维持性血液透析患者,透析前细胞内水含量为(20.6±4.4)L,透析后细胞内水为(19.5±4.4)L,透析前、后的差值为(1.3±0.7)L.透析前细胞外水含量为(13.7±2.7)L,透析后细胞外水为(12.5±2.6)L,透析前、后的差值为(1.3±0.5)L.依据透析前测量结果计算的干体重为(63.16±14.44) kg,依据透析后测量结果计算的干体重为(61.24±14.30) kg,两者之间的相差值为(1.92± 1.14)kg.结论 血液透析对维持性血液透析患者的细胞内水和细胞外水都具有清除作用,透析前、后制定的干体重存在较大差值,干体重制定方法还需进一步探讨.
目的 初步分析在維持性血液透析患者中應用Inbody S10評估體液分佈情況併製定榦體重的效果.方法 選擇北京東直門醫院和北京東方醫院血液淨化中心維持性血液透析患者,在透析前、後應用Inbody S10多頻生物電阻抗儀進行測量併分彆計算榦體重,同步記錄患者透析前、後的體重及設定的超濾量,採用統計學方法進行分析.結果 最終納入103例維持性血液透析患者,透析前細胞內水含量為(20.6±4.4)L,透析後細胞內水為(19.5±4.4)L,透析前、後的差值為(1.3±0.7)L.透析前細胞外水含量為(13.7±2.7)L,透析後細胞外水為(12.5±2.6)L,透析前、後的差值為(1.3±0.5)L.依據透析前測量結果計算的榦體重為(63.16±14.44) kg,依據透析後測量結果計算的榦體重為(61.24±14.30) kg,兩者之間的相差值為(1.92± 1.14)kg.結論 血液透析對維持性血液透析患者的細胞內水和細胞外水都具有清除作用,透析前、後製定的榦體重存在較大差值,榦體重製定方法還需進一步探討.
목적 초보분석재유지성혈액투석환자중응용Inbody S10평고체액분포정황병제정간체중적효과.방법 선택북경동직문의원화북경동방의원혈액정화중심유지성혈액투석환자,재투석전、후응용Inbody S10다빈생물전조항의진행측량병분별계산간체중,동보기록환자투석전、후적체중급설정적초려량,채용통계학방법진행분석.결과 최종납입103례유지성혈액투석환자,투석전세포내수함량위(20.6±4.4)L,투석후세포내수위(19.5±4.4)L,투석전、후적차치위(1.3±0.7)L.투석전세포외수함량위(13.7±2.7)L,투석후세포외수위(12.5±2.6)L,투석전、후적차치위(1.3±0.5)L.의거투석전측량결과계산적간체중위(63.16±14.44) kg,의거투석후측량결과계산적간체중위(61.24±14.30) kg,량자지간적상차치위(1.92± 1.14)kg.결론 혈액투석대유지성혈액투석환자적세포내수화세포외수도구유청제작용,투석전、후제정적간체중존재교대차치,간체중제정방법환수진일보탐토.
Objective To assess the application of Inbody S10 in evaluating the body fluid compartments and dry weight (DW) in patients with maintenance hemodialysis (MHD).Methods MHD patients were recruited from the blood purification centers in Beijing Dongzhimen Hospital and Dongfang Hospital,the DW value of each patient was measured and calculated by Inbody S10 before and after hemodialysis,body weight and ultrafiltration value were simultaneously recorded.All the data were analyzed by SAS9.1.3 software.Results 103 patients were enrolled in the study.The interacellucar water (ICW) value was (20.6 ±4.4) L before hemodialysis and (19.5 ±4.4) L after hemodialysis,the difference between them was (1.3 ±0.7) L.Extracellular water (ECW) value was (13.7 ± 2.7) L and (12.5 + 2.6) L before and after hemodialysis,respectively,the difference was ( 1.3 ± 0.5) L.The DW value calculated based on measurements before hemodialysis was (63.16± 14.44) kg and (61.24 ± 14.30) kg after hemodialysis,the differ-ence was (1.92± 1.14) kg.Conclusion Hemodialysis can remove ICW and ECW of MHD patients.DW developed before and after dialysis there is a big difference.Further discussion is still warranted for determining DW value.
