递增式血液透析相关实施策略
Implementation Strategies Related to Incremental Hemodialysis
DOI: 10.12677/ACM.2024.142520, PDF,   
作者: 苗 睿, 史应进*：内蒙古科技大学包头医学第一附属医院肾内科，内蒙古 包头
关键词: 递增式血液透析；管理策略；残余肾功能；安全性评价；Incremental Hemodialysis； Management Strategies； Residual Kidney Function； Safety Evaluation
摘要: 终末期肾病(end-stage renal disease, ESRD)患者在血液透析治疗的起始大都保存一定程度的残余肾功能(residual kidney function, RKF)，然而多数透析中心采用的标准的3次/周的血液透析方案忽略了这一点。递增式血液透析(incremental hemodialysis, IHD)是根据患者残余肾功能个体化制定透析方案的一种新型的血液透析方式，目前有研究证实递增式血液透析在保护残余肾功能、降低经济负担等方面的益处，并且似乎没有影响长期预后。本文就递增式血液透析的概述、管理策略及安全性展开阐述，以期为临床治疗应用提供一些思路。
Abstract: Most end-stage renal disease patients preserve a certain degree of residual renal function at the beginning of hemodialysis treatment, but the standard 3 times/week hemodialysis regimen adopted by most dialysis centers overlooks this. Incremental hemodialysis is a new type of hemodialysis method that individualized dialysis plans based on residual kidney function of patients. Currently, research has confirmed the benefits of incremental hemodialysis in protecting residual kidney function, reducing economic burden, and does not seem to affect long-term prognosis. This article provides an overview, management strategies, and safety of incremental hemodialysis, in order to provide some ideas for clinical treatment applications.
文章引用：苗睿, 史应进. 递增式血液透析相关实施策略[J]. 临床医学进展, 2024, 14(2): 3731-3736. https://doi.org/10.12677/ACM.2024.142520

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