| 应用尿素动力学模型评价血透病人透析充分性和营养状态的临床研究 |
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| 引用本文： | 叶脉安,黄潮辉,余立群,沈清瑞. 应用尿素动力学模型评价血透病人透析充分性和营养状态的临床研究[J]. 透析与人工器官, 1996, 0(1) |
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| 作者姓名： | 叶脉安 黄潮辉 余立群 沈清瑞 |
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| 作者单位： | 广州中山医科大学孙逸仙纪念医院肾内科(叶脉安，黄潮辉，余立群)，广州中山医科大学肾脏病研究所(沈清瑞) |
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| 摘 要： | 应用尿素动力学参数时间平均尿素浓度（ＴＡＣｕｒｅａ）、整体尿素清除率（Ｋｔ／ｖ）、蛋白质分解代谢率（ＰＣＲ）对４２例维持性血液透析病人透析充分性及营养状态进行评价，并与临床结果进行比较，我们发现ＴＡＣｕｒｅａ和ＰＣＲ是反映血液透析长期充分与否的重要指标，Ｋｔ／Ｖ可直接反映单次透析效果，是调整析方案的最佳指标，在透析不充分的情况下，Ｋｔ／Ｖ对ＰＣＲ有着重要影响．
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| 关 键 词： | 血液透析，尿素动力学模型，时间平均尿素浓度，尿素整体清除率，蛋白质分解代谢率 |
Clinical Study of Nutrition AndAdequacy Dialysis in Hemodialysis PatientsUsing Urea Kinetic Modeling |
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| Ye Maian, Shen Qingrui, Huang Huhui, Yu Liqun. Clinical Study of Nutrition AndAdequacy Dialysis in Hemodialysis PatientsUsing Urea Kinetic Modeling[J]. Chinese Journal of Dialysis and Artificial Organs, 1996, 0(1) |
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| Authors: | Ye Maian Shen Qingrui Huang Huhui Yu Liqun |
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| Abstract: | The parameter of Urea Kinetic Modeling (UKM):TACurea,Kt/V,PCR were applied to evaluate adequacy of dislysis and nutrition in 42 maintained hemodlalysis patients. Comparing with the clinical results,we have found that TACurea and PCR seemed the important marker for monitoring the adequacy of long-term dialysis and the nutrition. Kt/V could evaluate the effectof single dialysis and could serve as an optiumum marker in regulating dialysis scheme. Kt/V has an important influence on PCR. |
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| Keywords: | emodialysis Urea Kinetic model (UKM) TACurea Kt/V Protein Catabolite Rate (PCR) |
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