Wizemann Volker, Rode Christiane, Wabel Peter
Georg Haas Dialysezentrum Giessen, Germany.
Contrib Nephrol. 2008;161:115-118. doi: 10.1159/000130423.
Whole-body impedance spectroscopy (BCM) has been validated by comparing isotope dilution methods for precisely measuring body volume compartments. Clinical assessment as well as comparison to other methods shows that BCM predicts a reliable individual dialysis target weight in kilograms, which corresponds to a physiological (normal) extracellular volume. BCM is helpful in the management of volume status and arterial hypertension in hemodialysis patients as well as in patients with chronic kidney disease. Quantified by BCM, overhydration is a powerful predictor of death in hemodialysis patients.
通过比较精确测量身体容积室的同位素稀释法,已验证了全身阻抗光谱法(BCM)。临床评估以及与其他方法的比较表明,BCM能预测以千克为单位的可靠个体透析目标体重,该体重对应于生理(正常)细胞外液量。BCM有助于管理血液透析患者以及慢性肾病患者的容量状态和动脉高血压。通过BCM量化,水过多是血液透析患者死亡的有力预测指标。