Agrawal A, Nolph K D
Department of Internal Medicine, University of Missouri Health Sciences Center, Columbia 65212, USA.
Perit Dial Int. 2000;20 Suppl 2:S98-100.
Tidal peritoneal dialysis (TPD) was introduced in 1990 in the hopes of improving dialysis efficiency. Studies comparing low dialysate flow rates show that tidal peritoneal dialysis has no clearance advantage over intermittent peritoneal dialysis (IPD). With high dialysate flow rates, TPD may be superior or similar to IPD in efficacy, but it is expensive because of the high volumes of dialysis solution used. However, it provides better fluid flow mechanics and more comfort to the patient owing to fewer alarms and less pain during inflow and outflow.
潮式腹膜透析(TPD)于1990年被引入,旨在提高透析效率。比较低透析液流速的研究表明,潮式腹膜透析在清除率方面并不优于间歇性腹膜透析(IPD)。在高透析液流速下,TPD在疗效上可能优于或类似于IPD,但由于使用的透析液量很大,其成本较高。然而,由于流入和流出过程中警报较少且疼痛较轻,它能提供更好的流体流动力学,给患者带来更多舒适感。