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艾考糊精:一种替代性腹膜透析液。

Icodextrin: an alternative peritoneal dialysis fluid.

作者信息

Chhabra Darshika, Nash Kevin

机构信息

Evanston Northwestern Healthcare, Feinberg School of Medicine, Division of Nephrology and Hypertension, Chicago, Illinois, Il 60201, Evanston, USA.

出版信息

Expert Opin Drug Metab Toxicol. 2008 Nov;4(11):1455-64. doi: 10.1517/17425255.4.11.1455.

DOI:10.1517/17425255.4.11.1455
PMID:18950286
Abstract

Peritoneal dialysis is a home dialysis therapy in which a fluid known as dialysate is placed into the patient's peritoneal cavity. The standard dialysate consists of a concentrated dextrose solution. Icodextrin is a glucose polymer that can be substituted for dextrose with avoidance of some of the glucose-dependant effects. The efficacy and safety of this compound was evaluated and compared with the standard dialysate solutions. It seems to be well-tolerated overall and may offer benefits in select populations of patients with kidney failure. This seems to be especially relevant in patients with more permeable peritoneal membranes who are known as 'high-transporters'.

摘要

腹膜透析是一种家庭透析疗法,即把一种称为透析液的液体注入患者的腹腔。标准透析液由浓缩葡萄糖溶液组成。艾考糊精是一种葡萄糖聚合物,可替代葡萄糖,避免一些与葡萄糖相关的影响。对该化合物的疗效和安全性进行了评估,并与标准透析液进行了比较。总体而言,它似乎耐受性良好,可能对某些肾衰竭患者群体有益。这在腹膜通透性较高的患者(即所谓的“高转运者”)中似乎尤为相关。

相似文献

1
Icodextrin: an alternative peritoneal dialysis fluid.艾考糊精:一种替代性腹膜透析液。
Expert Opin Drug Metab Toxicol. 2008 Nov;4(11):1455-64. doi: 10.1517/17425255.4.11.1455.
2
Icodextrin: a review of its use in peritoneal dialysis.艾考糊精:其在腹膜透析中应用的综述
Drugs. 2003;63(19):2079-105. doi: 10.2165/00003495-200363190-00011.
3
Icodextrin increases technique survival rate in peritoneal dialysis patients with diabetic nephropathy by improving body fluid management: a randomized controlled trial.依克多因通过改善体液管理提高糖尿病肾病腹膜透析患者的技术生存率:一项随机对照试验。
Clin J Am Soc Nephrol. 2011 Jun;6(6):1337-44. doi: 10.2215/CJN.10041110. Epub 2011 Apr 14.
4
Biocompatibility of icodextrin.艾考糊精的生物相容性。
Kidney Int Suppl. 2002 Oct(81):S34-45. doi: 10.1046/j.1523-1755.62.s81.6.x.
5
Review of clinical trial experience with icodextrin.
Kidney Int Suppl. 2002 Oct(81):S46-52. doi: 10.1046/j.1523-1755.62.s81.7.x.
6
Allergic reactions to icodextrin in patients with renal failure.
Lancet. 2000 Apr 15;355(9212):1364-5.
7
Icodextrin as salvage therapy in peritoneal dialysis patients with refractory fluid overload.艾考糊精作为腹膜透析难治性液体超负荷患者的挽救治疗方法。
BMC Nephrol. 2001 Dec 3;2:2. doi: 10.1186/1471-2369-2-2.
8
Potential hazards of polyglucose.
ASAIO J. 2001 Nov-Dec;47(6):602-7. doi: 10.1097/00002480-200111000-00006.
9
Icodextrin metabolism and alpha-amylase activity in nonuremic rats undergoing chronic peritoneal dialysis.接受慢性腹膜透析的非尿毒症大鼠的艾考糊精代谢与α-淀粉酶活性
Perit Dial Int. 2007 Jul-Aug;27(4):415-23.
10
Effects of icodextrin on glycemic and lipid profiles in diabetic patients undergoing peritoneal dialysis.艾考糊精对接受腹膜透析的糖尿病患者血糖和血脂水平的影响。
Am J Nephrol. 2007;27(4):409-15. doi: 10.1159/000105123. Epub 2007 Jul 3.

引用本文的文献

1
Use of Toll-like receptor assays for the detection of bacterial contaminations in icodextrin batches released for peritoneal dialysis.使用Toll样受体检测法检测放行用于腹膜透析的艾考糊精批次中的细菌污染。
Toxicol Rep. 2017 Oct 23;4:566-573. doi: 10.1016/j.toxrep.2017.10.004. eCollection 2017.
2
Renal replacement therapy review: past, present and future.肾脏替代治疗综述:过去、现在和未来。
Organogenesis. 2011 Jan-Mar;7(1):2-12. doi: 10.4161/org.7.1.13997. Epub 2011 Jan 1.