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題名 | 血液透析之檢體採集技術=Specimen Collection Techniques of Hemodialysis |
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作者 | 吳淑貞; 葉庭豪; 黃小倩; 楊紹佑; 林水龍; Wu, Shu-jen; Yeh, Ting-hao; Hwang, Hsiau-chien; Yang, Shao-yu; Lin, Shuei-liong; |
期刊 | 腎臟與透析 |
出版日期 | 20150600 |
卷期 | 27:2 2015.06[民104.06] |
頁次 | 頁70-73 |
分類號 | 414.91 |
語文 | chi |
關鍵詞 | 血液透析的適當性; 尿素氮降低率; 血清尿素氮的廓清率; 檢體採集; Adequacy of hemodialysis; Urea reduction ratio; URR; Kt/V; Specimen collection; |
中文摘要 | 血液透析的適當性提高透析患者的存活率,減少疾病的併發症和死亡率。臨床上評估血液透析劑量的指標為尿素氮降低率(urea reduction ratio, URR)及Kt/V。尿素氮降低率至少要在65%以上,可減少併發症;足夠的血液透析劑量至少要在Kt/V ≥ 1.2,才能維護透析病人的健康。透析場所需每月以標準一致性流程採集血液樣本,以達到數值的準確性。除了單一透析治療的尿素廓清率來評估透析量,仍應評估病人的營養狀態、高血壓、貧血狀態、酸血症、血磷的高低、發炎指數,才更臻完整。 |
英文摘要 | Adequacy of hemodialysis increases the survival rate of the patients on hemodialysis, and reduces the morbidity and mortality rate. Clinically, URR (urea reduction ratio) and Kt/V are parameters that can evaluate the adequacy of hemodialysis. URR should be more than 65% to reduce complication rate. For adequacy of hemodialysis, Kt/V should be equal to or larger than 1.2, to maintain the health status of hemodialysis patients. Dialysis centers should use a consistent, standard protocol to collect blood samples, to achieve accuracy of laboratory data. In addition to Kt/V, we should also evaluate the patients' nutritional status, blood pressure, severity of anemia, extent of metabolic acidosis, serum level of phosphate, and inflammatory markers, to complete assessment of dialysis adequacy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。