François K, Ghazan-Shahi S, Chan C T
Department of Internal Medicine Division of Nephrology, University Health Network Toronto General Hospital Toronto, Ontario, Canada -
Minerva Urol Nefrol. 2015 Mar;67(1):75-84. Epub 2014 Nov 6.
Over the past decades, evidence on the benefits of intensive hemodialysis, more frequent and longer comparing to conventional hemodialysis, has emerged. The home environment is an ideal setting to perform intensive hemodialysis without the reliance on organizational and structural needs. The observed benefits of frequent hemodialysis have resulted in a rise in prevalent intensive home hemodialysis patients around the world. A successful home hemodialysis program requires a well-structured predialysis education program with focus on home dialysis and a dedicated multidisciplinary team with knowledge about the specifics of home hemodialysis and with a holistic approach to provide optimal care. In this narrative review, we describe different modalities of home hemodialysis and dialysis prescription specifics of intensive nocturnal hemodialysis, the modality with overall best outcomes.
在过去几十年中，与传统血液透析相比，强化血液透析（更频繁且时间更长）的益处的证据已经出现。家庭环境是进行强化血液透析的理想场所，无需依赖组织和结构需求。频繁血液透析所观察到的益处已导致全球范围内居家强化血液透析患者的患病率上升。一个成功的家庭血液透析项目需要一个结构完善的透析前教育项目，重点是家庭透析，以及一个专门的多学科团队，该团队要了解家庭血液透析的具体情况，并采用整体方法提供最佳护理。在这篇叙述性综述中，我们描述了家庭血液透析的不同模式以及强化夜间血液透析（总体效果最佳的模式）的透析处方细节。
