Kazancioğlu Rumeyza, Topcuoglu Derya, Kiricimli Nese, Cinkilic Arzu, Celik Huseyin
Bezmialem Vakif University, Faculty of Medicine, Division of Nephrology, Istanbul, Turkey.
J Ren Care. 2012 Mar;38(1):29-33. doi: 10.1111/j.1755-6686.2011.00241.x.
Standard peritoneal equilibrium test (PET) is an implementation that requires hard work for peritoneal dialysis (PD) staff. We analysed the efficacy of the fast PET and compared its results with standard PET. Forty-nine patients on PD therapy were included in the study. For standard PET, glucose, urea and creatinine values of dialysate were analysed at zeroth, second and fourth hours, and the patient's serum glucose, urea and creatinine values were analysed at second hour. In the fast PET, urea, glucose and creatinine values in plasma and dialysate were analysed at the fourth hour only. The results of both methods were compared with Pearson correlation and kappa tests. According to the standard PET, low transport in five patients, low-average transport in 17 patients, high-average transport in 23 patients and high transport types in four patients were identified. Fast PET results were similar in 46 (94%) patients (r = 0.77, p = 0.0001). Kappa (κw) analysis of results of both PETs was also statistically significant (p = 0.0001). This study showed that the peritoneal transport type may be determined more easily, practically and faster.
标准腹膜平衡试验(PET)是一项腹膜透析(PD)工作人员需付出辛勤努力才能实施的检查。我们分析了快速PET的有效性,并将其结果与标准PET进行比较。49例接受PD治疗的患者纳入本研究。对于标准PET,在第0、2和4小时分析透析液的葡萄糖、尿素和肌酐值,并在第2小时分析患者的血清葡萄糖、尿素和肌酐值。在快速PET中,仅在第4小时分析血浆和透析液中的尿素、葡萄糖和肌酐值。两种方法的结果通过Pearson相关性检验和kappa检验进行比较。根据标准PET,确定5例患者为低转运型,17例为低平均转运型,23例为高平均转运型,4例为高转运型。46例(94%)患者的快速PET结果相似(r = 0.77,p = 0.0001)。两种PET结果的Kappa(κw)分析也具有统计学意义(p = 0.0001)。本研究表明,腹膜转运类型可以更轻松、实用且快速地确定。