Lockridge Robert, Cornelis Tom, Van Eps Carolyn
Lynchburg Nephrology Physicians, Lynchburg, Virginia, USA.
Hemodial Int. 2015 Apr;19 Suppl 1:S112-27. doi: 10.1111/hdi.12279.
Prescribing a regimen that provides "optimal dialysis" to patients who wish to dialyze at home is of major importance, yet there is substantial variation in how home hemodialysis (HD) is prescribed. Geographic location, patient health status and clinical goals, and patient lifestyle and preferences all influence the selection of a prescription for a particular patient-there is no single prescription that provides optimal therapy for all patients, and careful weighing of potential benefit and burden is required for long-term success. This article describes how home HD prescribing patterns have changed over time and provides examples of commonly used home HD prescriptions. In addition, associated clinical outcomes and adequacy parameters as well as criteria for identifying which patients may benefit most from these diverse prescriptions are also presented.
为希望在家中进行透析的患者制定能提供“最佳透析”的治疗方案至关重要，但家庭血液透析（HD）的处方方式存在很大差异。地理位置、患者健康状况和临床目标，以及患者的生活方式和偏好，都会影响为特定患者选择的处方——没有一种单一的处方能为所有患者提供最佳治疗，为实现长期成功，需要仔细权衡潜在的益处和负担。本文描述了家庭HD处方模式随时间的变化，并提供了常用家庭HD处方的示例。此外，还介绍了相关的临床结果和充分性参数，以及确定哪些患者可能从这些不同处方中获益最大的标准。
