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中性pH-低葡萄糖降解产物腹膜透析液临床应用进展

Research progresses in the p H-neutral, low-glucose degradation product dialysates for peritoneal dialysis

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【作者】 吴海珊; 毛海萍; 陈崴; 阳晓;

【Author】 WU Hai-shan;MAO Hai-ping;CHEN Wei;YANG Xiao;Department of Nephrology, the First Affiliated Hospital, Sun Yat-sen University;Key Laboratory of Nephrology, Ministry of Health;

【通讯作者】 阳晓;

【机构】 中山大学附属第一医院肾内科; 卫健委和广东省重点实验室;

【摘要】 传统腹膜透析液的高浓度葡萄糖、高葡萄糖降解产物、高糖基化终产物、低pH值等生物不相容性是影响腹膜透析(peritoneal dialysis,PD)疗效、导致PD技术失败的主要原因。中性pH-低葡萄糖降解产物(glucose degradation products,GDP)透析液是一种生物相容性透析液,有研究表明中性pH-低葡萄糖降解产物对终末期肾病患者的影响优于传统腹膜透析液,特别对于长透析患者。因此,本文就中性pH-低GDP腹膜透析液对终末期肾病腹膜透析患者残余肾功能、腹膜功能、腹膜炎发生率、患者生存及技术生存、腹膜结构等方面影响的研究进展进行综述。

【Abstract】 Conventional glucose-based peritoneal dialysates with higher glucose concentrations,high glucose degradation products, advanced glycation end products and lower pH have been recognized as bio-incompatible, affecting peritoneal dialysis efficacy and leading to technique failure. pH-neutral, lowglucose degradation product dialysates are relatively biocompatible, and are thought to be superior to the conventional dialysates especially in long-term use of peritoneal dialysis. In this paper, we review the recent advances in p H-neutral, low-glucose degradation product dialysates on the residual renal function,peritoneal function, peritonitis rate, patient and technique survival, and peritoneum pathology in peritoneal dialysis patients.

  • 【文献出处】 中国血液净化 ,Chinese Journal of Blood Purification , 编辑部邮箱 ,2023年04期
  • 【分类号】R692.5
  • 【下载频次】29
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