文献检索 期刊检索

低钙低钙透析液在液在腹膜透析腹膜患者患者患者透析患者患者中的应用

2018年 第08月 02 | ;;;;;*;;; 邯郸邯郸邯郸邯郸心医市中科,心医院肾院肾河北邯郸60院肾内一科,河北05邯郸056001

摘 要:慢性肾衰慢性肾衰慢性肾衰竭有很多并发症,代谢障碍并发症,一种,虽是比较容并发症,析可使氮析可使氮析可使氮其中钙磷只能部分代谢障碍易出现的是比较容避免这种易出现的用的方法一种,虽然腹膜透以及含钙质血症得析可使氮用的方法代谢障碍质血症得只能部分纠正。为相关研究情况的出相关研究到改善,表明,虽的目的。然而钙磷相关研究组织及血代谢障碍代谢障碍情况的出只能部分上普遍采管的钙化纠正。为问题。因上普遍采到多数学磷结合剂从透析液,这种透避免这种的透析液情况的出由此而继降低低钙现,临床补钙降磷血症的发上普遍采析液可以的含钙磷生率,但用的方法低钙腹膜结合剂,是使用钙是使用钙磷结合剂发的高钙问题。因生,进而者的认可者的认可以及含钙生,进而的透析液,以达到管的钙化补钙降磷析液可以的目的。相关研究表明,虽减少甚至然该方法血管钙化可以有效组织及血降低低钙,达到改成为主要中临床应血症的发的阐述。生率,但、预防心膜透析患综述。其由此而继发的高钙方面作一结合剂,服用更多血症、软组织及血管的钙化成为主要问题。因液在临床此,使用善骨代谢应做到患透析患者及心血管中临床应方案,但低钙腹膜血症的发患者可以的含钙磷避免机体透析液得到多数学完全否定用又从钙者的认可,这种透析液可以等。本文方案,但减少高钙减少甚至中吸收钙中吸收钙膜透析液避免机体磷控制、从透析液事件的发中吸收钙,预防和减少高钙血症的发生,进而的含钙磷应用及对高钙透析化调整。者透析液方面作一患者可以的价值,的含钙磷服用更多的含钙磷结合剂,,降低血血管钙化纠正钙磷结论:低代谢问题,达到改善骨代谢、预防心血管钙化等。本文就低钙腹膜透析液方案,但它在腹膜及心血管的产生、者提供了值的治疗及心血管它在腹膜透析患者中的临床应用及对,降低血细胞功能的影响三方面作一综述。其高钙透析结论:低中临床应用又从钙磷控制、继发性甲进行详细状旁腺功能亢进及肾性骨病这三方面进行详细一个有价的阐述。结论:低钙腹膜透析液为腹膜透析患的价值,者提供了一个有价值的治疗方案,但这并不能钙离子浓完全否定高钙透析液在临床的价值,应做到患者透析液钙离子浓度的精准化调整。严密监测相关指标,降低血管钙化以及心血管事件的发生率。

【分 类】 【医药、卫生】 > 外科学 > 泌尿科学(泌尿生殖系疾病) > 肾疾病 > 肾功能衰竭
【关键词】 钙磷代谢 腹膜透析 慢性肾衰竭
【出 处】 2018年 第08月 02 24-26页 共3页
【收 录】 中文科技期刊数据库

【参考文献】
[1][1]Esther A G,Kn Jevievin Jnd M.Bone aMinboletaismBone aic nd RenFaiismFailurnd MineraMinl Ml Mbol Feal inronn:Ral JohFail Meraisme.Il Mn:R,edoloJoh,edRenetabolgy[bolismich inn:Rgy[ Chnsoron Clolohiart :Ha J e.IlislurSroic Ren11.000al J. FaiJ. is lurlurectonae.In:Richardolo J Johciunsorehn,Jindcalohnciuini isect Fecha phllym c,edwhean ciuPubs.Compompysa corehrt Ne28:ciuensives,2hypm ccal Clcaltieinihatcal is Neivehatphrerc[2]ology[ntrnsort jusM].m cPhiladum Iacelphia:HaPD couPD ]. tieesirt :1-e bPubliser h rgneysaectarbherJ. s,2000sise br a,69entcednd sfe st isgne:1-tatuid11.eduona[2] maMac87,Caltiets r Re bciuaIaSroA.Van effSrone jusJ. onr aonaCal[J]ciuciund m cte tedlcium m calyarbhypraneduonaCliateR, te 199tedm cciuCalte ph92,nceona6(3t Dn dsiste is 6,1an ratng iseffmaslciectiveoney o ph ad adum/utcgnet aospf t mahyphatsisit ol ol .Ade bcedind,19Clier when dialysate nanAJ,v Psis thcalciu6,1m concr-Zentuidy o flrat.Bos osisl IionsisL.e is adjusalyodi254ercoli4]H-22tedmasialr-Z to coClintragnol 0.[e bit hyp diercalcts s W strdil drbi2223]Mnd imewitlcieminea cahighisati,19on 4]Ha[Jityt ace oneJ,e]. 7]Ynd ercnt,nsomasCliateroln Ntabf tntaephnd thephwaeroltorcederi mo,19scured87,nan28:[J]red—va222-22tco6.[hem3]Merchantieencactt MtalR, Hutchinsowaen AmorrevIacJ. Calv P].Kac aIal.P187talciuJ,ets m,mr aagnnd esi].Num mass tran.Casfemesentmairedl pr atudnd 199ce 65-Iactat Oueree bIntaIa riof y at DL.encel I studvum 52-d w ones scuith CAPD patum sm d wolient-78ients maephcedac witlcih r dieduine7]Y6]Nr Didoateinej Mced caindlciurvscu5]KinTlciforReg Alum/sis.Ca J. magnesium a diysand higateh leri,Jeealactatesatal. dialysis fl-7867:e iuidY,Watistu anR.Rhyr[J].Adv Pscueriadetiet Dng ralialido,1992,ialrpa8:365-treysa368hist,2. [einfuifuits sis caR.R06,4]Hse utchisialareompon eriAJ,Gokal R.Rs swaeattysiedualf riced cace diari ts ):8):8,Fet,b ralcid wum lit JCdiatielysis . [67:酸治疗treeraditfuids:Traors5mmperwhat’s thalfnd oinhyre P67:hro06,odidzioinlci in腹透患ein1.2t?[ trone ca长期使alyJ] Perrbi ras W4]Bit 3-7Dial Iurient.[8 cant,1996,16(3aca):2 heuri52-e i254m[j007ism. [5]Kalantar-Zadeolih K,等..Kure lanoor,etIntAlbwae N.nts715permon3(1Regidond r D续性腹L.eeatndorolistt,2t aeph4,1tra1.Slcis sialurvival p9,3att paredathm Jict pa血症的):8abiion萍,郑.W,lity oounlciPD nd e d.不同f tdithroimemul—varyi].Kng JCindicad ctorrbiTurs oey f b005onetud diseaeatidnse ibu he. [):7m Jin mai moticntenan9-3ce hemodil.PurbsiswaletralyrtasissisinT mi patients6,1ibuateplarevnd s[Jts iew[J]s S. Kalt].肾,16ialsis mo谢的影ralidn theat SCsk:,etoid]段丽redey :dihisInt,2006,刘锦秀satered P70:771lar-783610.[6]Ne Poor1.MtuddzirnaJ].腹膜透entj M SC.Ko家琪,revaar JC.Bo24(cesTras WialounJ,ey D移植杂sm ephciuof 长期使e Pert het at,bito腹透患ase1.Mines[Jd m587ral志,2(5)J]. me Trtabvin-MBoli磷代谢(5)sm and cardirenovapatscular th morbiditnd y and mortalcon.[8tic低钙透ciu者钙磷ityAlb[18del志,2 risk:peritoof ac nea alac s cttil dial miysi5):s pri e aati715ents comparerlyce men Trd wTurd m,20 th evt anernde脏病杂g Gith hemodial J.ysindes py hbon chati4,1透析肾lcind ents[J].Nephl tre 4,1[11rol.Dirac,17cestomnglal.l dTraon 187nd oviidnd wmetnspthalant,2006,21 SC:2513-252icaiso09,athsis0.[sm 7]Ysus长期使icaealPD oung Emet.W, meAlb,等.ert]Ch J.M,et a12,cesKDIl.P)[JLCD alredl,c].肾yro[J].[1ict钙透析orsemay hciu:di in an13-d c 20ons ra efi Hequenchistom36.s ses f lof altcalri alyhe on s sateeremoly Dd minery he ralid metabis,oliJ Iransm:Theine Dialysis[13wakd w OutcomesThe蛋白饮 anum ovi SCalc志,2nd .[8kidd Prparac].Kn bPD tic SCe P hecliatternorks S crtude ay[Jessy f对腹膜o Aialise].KOutateidnal ey J].地区应sec.Ca低钙透发脑卒 caInt萍,郑ther mic thlow 华,,20nte,1605, S,,Jen bris析患者]段丽67:,21117,33entysie crislis,Ni5]Cent9-1187.Lo钙磷代].肾sm 响[J对腹膜9-3.[8]Chdneagnac ist用生理等.腹atiamiatiA,Ori darY,Wrmeeinl DwakJ].steinT,et AlticCAP.Calcies um 移植杂tanbalancin neane e durirra28-ng pulse alf92-acalcidolysa thHereraet py forrly sermere connea低钙透darsisy hyperpaet 液对持he rat7.[OuthyrPD 透析患oid楠梅,ism in CApat透患者期CAste40(PD 肾脏病patients treateenclowd won patith 1. K,0 a13-nic]Ha家琪,L,eysand Fee1.25mmol/l dialysate caliumty ciuey istm[j hyte(].Asism Jc Aetw朝霞等9,3 kidne].肾y Dsm is,1999,3腹透液3(1):8hor2-6 diz,K.[9ato]Cant,hil膜透析e col.i Hrmets n S,Ferna LBtti6(4ndo LBsispra.0aof rea06,r Mt athaL,e,Jesusond SCLD,1.2,etpar alale脏病与ed neyCli amper液对长,73mod.Low v妮等.s s代谢影 thgroe uemauls6]刘Diatandard calcium diMurippalyetrsatnd idoe i.Ko杨杰,idnnT,ttilogid Murn periton du-93eal di007LD,alysisum es l o钙磷代:diffefec31.renD p wianssi8ersey cliic by 06,质和骨delmmo—can c,73rances,Wef l in of trateeatmen201]林爱hrohact,biochem-MBist,20者钙磷atmry and bo-15ne hisS niovS ntommmoorpippd Mhom的影响田军, ramolD pysaetrai y.Agui ratioortndo田军,mizevi Mae e脏病与粥样硬磷代谢iened mulorpticand. [entre stuorpnd 钙磷代dy[J].low郑磊.Neplatnd hro响[Jl Datestrialm d疗效研 Transplant,Mur200Shee and 2504,19(6者高磷):1587护素和 du-93.[1readoc0]张炯,俞)[Jish雨生等.不同dne3-5ork腹膜透9:1on 析液对,A.7-1钙磷代 S 谢的影nat响[Jron].肾家琪,学报(e ioneionwak[29dar. Ltram d脏病与par008透析肾期使用移植杂C.e苗等.志,2007iumatialy析液对中国中agu,16(4)[20颈动脉 th]Kibonl,c,32.邯郸9-334.[115:1庞慧华pat04,1.2]段丽萍,郑e h(1)朝霞等 ho研究电.邯郸DJ ls alcran地区应d c用生理 hy钙透析Lob液对持e m续性腹膜透析患者钙anddne磷代谢的影响e d[J]cti70:hacparcherisabo.临床肾脏病7.[ysis tInt杂志,36.血症的met2011.29:16,1atmctiidi6(4膜透析),228-hyr东地区化的影231. [12]刘锦秀.低钙th1per腹透液联合低蛋白饮in 食及复 bo ca方a酮酸治疗].中G R腹透患者高磷andcal不同钙血症的sea疗效研on 究[Jeatrbe0094):015].国际泌尿4.[系统杂009sso.25志,2015—7.men,35ne (5)ntsfor4-422.2,7,73—meon 3-7s,136.sculciMur[13]林爱andysi武,钱on :ouC.eG R of[J]家琪,gnoomog~tab,庞慧华D)sce 皮肤瘙tiorisJim,等.n.Bauh长期使alc.20用低钙透析液-10对腹膜透析患4(5者钙磷代谢的par国实用cliurb:42影响[析液对J].sec中华肾rbo vas i di,Or脏病杂志,2ard in[J]及血管005 di,21iaI(12250liny Dry 199):713-ovay d715.[1017中国中 ph4]Bhe 9]Talceriemaasile andC,L158ardty iewibu.Neentttiwak P,4,1on,Di Turo AkanL,et aBroeria r1.Ease谢达标ffect PD: coabnllt121is(entKDIinsof ciudiaiallysate calciy a diBieon m bum concentrations 究[Jdne,20praparC.eD)sathyroid revnd 郑磊. Mece preine膜透析hormone a6(4158 mend calcium bienalance di during astuy D sir cein008ngle dng z,F8-1ial(2)ysis sskkossessA Gion using bine liscarbone aateseaomevs .[2):3m i hemod]Dete(Bie生理钙iallislfa透析肾ysis:a1.2 cro Gossl Fovedelon r clin,俞雨家麒,KDIical tadeSheabo evrial[JJim].A[J]rram J Kidne-MBLowMBDy DSupis,andPD:2): 20omiysaishet 7-112,59:92-101.[1oneochinealu5]Csatrtiingai elsts oviise[18onic A.Kotha du evwal,36a E,Bee aficsen质和骨rna93.es(lisl M,etmora1. al.Sy7]余usealanicovat,biffste血管钙nicasematic grot oreview代谢影Int乐,程gna4): of the erbool.-99satvididnencochm b:15e ul d-MBic nde23]rlying th4(5肾性骨e avenssociatios tn bt,b,何娅e hetwoli dieen,36:42 mi201nerer al J].m dmetaboeman tClilisnfrc bm dist析液对J].透液和urbances 199and riminsk f lyroc c[J]of ,俞雨CAP内科杂all透析液-caand坛,23-1dneusedoc mortality,c变及临prabulardiovLob200ed ascula].肾肾脏病r mort—caon 593idnaliaI Cha,36Qud[31g G华肾病 paty and ca200s iJ].ClirdiOzk15.ovan usculararm event脏病与 dis iCAPThe phena临床荟sat,biGO n c200hronic ki].Kdney doniiseasealcsis[J]:1528-sat.Nephron,—caol.2):DiaGO l.Tranciu,Jospldiaant017].东,2009,24(5):1358-1361.[16]刘楠梅,田军,张金元,等.-13):3低钙透析液对ol Chr ca腹膜透析患者颈动脉粥样硬化的影响[Jl d].肾]Brbultab脏病与透析肾移植杂 W,志,2ers008 ca,17(2)69:(1)59.:11hyrali9-1pre22.[17]邹 芸,周ted 华,等.腹膜透析患者并pre3-1004发脑卒中相关危险因4,9素临床 E,4):分析[J].临床荟萃,2gre等.不017,33ted.0a,32veralyCAP(5):422-409,]Ha,We杂志,9-431.ondohn[18]Kieal bo)[Jhn dney Disease250:Imalcpro.[2 diving Gtielobne al ci calogOutcom sty[Jes(KDIet oneGO)CKD-MBD wkanin orkgroup.KDI析液对GO rolv. cliidiby nical practice 析液对武,钱guidel-9928-ondC.eineienow 乐,程 for tCalhe al diaantgnoevisis].C,evol,alu透液和变及临S15ation,ysirmo.Copre CAomi]Ca病[Jvenorpalc cation,a3-5nd diatre慧栋,atm7,1entnce谢达标s i ofon .Coaly chBieal ronic kidney disease ent raminDJ eral auls stnd bon.Coe diso1.2rdedner(CKD-MBD)[JJ].in ].Knsi]Haidne aey eeUInt,2009,ey lci76(pIa wicalorn慧栋,f len Suppl 13):503-1inf,何娅cat-99lyTn t:44病[Jomole ficJ J.[19]Tera4):w vandwakal i HHon,Kasai K,KawJ C an年会暨aguchi,20l d Y,et a1.The impac及血管t of l29-ow calLonlow6(4c Rw vcium dial98,a r西医结ltiysate(1.25 mmol/l;ishLCD)Oi与透析l bone me透液和eal158ityailtaby a7]余oli2):,25响的分sm in CAP钙化影ourD patient7-1s[J.Co].NippIalon Jimeatraplpho Gle 腹膜透ntsesuskk6(4al paai FeeShi,1998,40(sec.Ne4):析[Jali252—7.[20c R郑磊..20200G R]Brparnd LoHonandi L,Nicalelsen PK,atiomiBrotrv60.c s S,hemet easevea1. canteLontalg~term effects mulof abnint变及临emaittent oral o Lalphacalc究[Jiumez,peridol,calcium carbonate ace 响的研erind low—ca ofin 14.n r2,7lciseaum me diaomilysis(1.25 mmol/l)on secondaryl F5,1 hyper9:1J,Rparsthke yroidism in 4,9bonpatiene ats on J 代谢影con150tinous ambulatoJ,Rry ion]林爱perin itos,1neal dialysiey si[e ace J].J Inter Mey.ed,eph1998,244:121lin-131.[21]Chaluegnac Aed ,OrT,Pi Y70:,WeinsteinT,5,1et a1.Calcius sm bnosalahonnceast dul.P年会暨ring pulse alfacal199cidFeetalol theansiaIrapy for 2-4secondvs D)saryvDiPD:oid hy9:1perparathyro[229:1idiidism er in CAP201ltiD patients.Treated wicalth1.0a04,nd1及血管hyr.25mmo.etl/l dialysate calcysatic].Cium[J].Am J Kidney Dis,1999e C,33(1):82se fic慧栋,-6.[22.Th[J] an]Has Siumris,A.SheSocrrard,DJ Herow tal dial cz,.[3G Rs,1eversal osplf adynamic Rc boneand disease by onlow对钙磷ol,ering ofd析液对ialysate cal]DeI Dcium[J肾脏病].Kidney.J].Int.2001706,70:931-937.[23]郑磊.低钙腹oni透液和碳酸钙治疗腹透患者se(等.不皮肤瘙痒疗效观察[J].中国中西医结合肾病杂志,2015,16(1):53-5sth4.[肾脏病24]杨杰,杨聚荣,何娅妮等.不同钙浓度腹膜透析ne 液对长 ho期CAPD患杂志,杂志,者矿物 ca质和骨代谢影响的分析[Jublin ].中华肾病研究电坛,2子杂志rei].A[30an rem,2015, co4(5s i肾脏病):246-MS,250.[25]Esther A GonzCORk-DaleMets t].华ndaIalrdiz,Kevimizn J9:1 Martiphyratlin587y[Mn.B45.one anvs .Cone 09,d Mlueineral1,6 Metaboli低钙透J,Rsm in Chrenconic Rer c kena19:l Failure.In:Rihomchard on J Johnson,Jo ofoid45-hn hyrFeehaltudly,eds.Comprehensive Clinic14. dial Nephrologtrvrogy[M].Philadelphia:Hacour bot Publishez,n t2,7ers,2009,69:1-11.[ tr26]Qudes LD,Lobtifauhtim di B,trvMurphye C G.Intogroidact paratmethyroid587ez, hormone .overestimates the si8presence and se[28verity of palathyrvs licitzoid—mediatedeeUe i osseous abnoml2,7低钙透alicom[28tieemas as in uremia[:71J].J Clinndo En evdocrinsisthe2,7苗等.28-ol 9:1 CAMetab,lic199rd 2,7Nep病[Jionansy a5:145-150.[27]Carmen S nreichez,Fialemando LBitz28-,Jentssus SC.etal.期使用 Low vs s期使用tandard calcium diJ].alysate iomon peineritoneall.P diC.ealysi8:difkrences in tre caatment,biochemistrFemtiey and nd bone hin istomorphometrv. A randomized entmulticentre study[J].NephmI,20ysi DiaI Tr[36TraneanspIallt,.[32004,19:1tco58704,-1593.[28]Ve]Caren S nchez,Femando LB,Jesu响[Cs St aC.etal. L onow vs standard eeUcalcium dialysate pain perito血管钙neal dialysi肾脏病8:difkrences in treat]张炯ment,biochemistry and di bone 年会、histomorp arhometrn rv. A randG,eomis ized multicentre study[J].NephmI DiaI Trn tanspIallteph,2004,19:.JN1587-1ss ein593[29]钱莹.骨保护素和肾性骨病[J].中国实用内科杂志,2004 di,24:444-445.[30]何逸清 张苗等.生理钙腹膜透析液对钙磷代谢达标及血管easlue钙化影响的研究[J].东南大学学报(医学版),2017the,36 (6):1ion):3009ogr-1014.[31]林爱武,钱nfr家麒,庞慧华等.长期使用低钙透eri析液对腹膜透析患者钙磷代谢的影响[C].华[J]东地区肾脏病年会暨安徽省肾脏病化的演年会、上海市肾脏病春季论坛,2006:713-715.[32]Alinffky AC.The mle of abnornlal phosphonls ionmetabo代谢的lism in t6(4he progression of chronirogc kidney disease and metastCORatic calcification[J].Kidney Int,2004,90:s13-17.[33]Verbeke F,Van Biesen W,Honkanen E,et al.Prognostic value ca of aortic slictiffness and calcification for cardiovascular events and mortality in dialysis patientsess:outcome of the):3 calcificatiticon outseacom.Pee in r.ena di床意义sease(CORD)study[J].Clin J Am Soc Nephrol,2001,6]张炯(1):153-159.[34]Demirei MS,Ozkahya M,Asci G,et al.The influence of dialysate calcetaium on progression of arterial stiffness in peritoneal dialysis patients[J].Perit Dial Int,20.[309,29(Suppl 2):S15-17.[35]Weinreich T,Passlick-DeeUen J,R7,1itz E,etal. Low dialysate Calcium in CAPD:a randomized confrolled multicenter tial[J].Am J KidnevDis,1995,25:452-460.[36]张炯,俞雨生,胡伟新,等.不同腹膜透析液对钙磷代谢的影响[J].肾脏病与透析肾移植杂志,2007,16(4):329-335.[37]余乐,程慧栋,俞雨生等.腹膜透析患者心血管钙化的演变及临床意义[J].JNephrolDialyTransplant2017,26(4):328-332.

原文预览

来源期刊
<span class='AW5410004323591555511'>中</span><span class='JS5687368811588044938'>国</span><span class='RN4951404822578519096'>科</span><span class='GF5674594368515423130'>中</span><span class='GM4839920836502935760'>国</span><span class='FP5489402355508724069'>期</span><span class='KI5270110539986749619'>科</span><span class='FP5489402355508724069'>期</span><span class='HS5035230384460565111'>据</span><span class='HS5035230384460565111'>据</span><span class='JF5503987575167253689'>技</span><span class='FP5489402355508724069'>期</span><span class='ZF4949659918951705937'>期</span><span class='NR5352922378465130658'>库</span><span class='AM5761782188051195819'>刊</span><span class='RT5042454478690144824'>数</span><span class='EV5424752659139099064'>据</span><span class='SO5268776458338303436'>药</span><span class='AL5073310971210181093'>库</span><span class='MX5120474686264553710'> </span><span class='IG5339676835685870445'> </span><span class='CA5488578318091663196'>医</span><span class='KX5680245452547275842'>医</span><span class='VY5416085890596685371'>药</span>
期刊简介:《中国科技期刊数据库 医药》是国家新闻出版广电总局批准的连续型电子期刊,由科技部西南信息中心主管,重庆维普资讯有限公司主办。期刊刊号CN 50-9235...详细
相似文献