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中国每周两次血液透析：它能否成为起始或维持性透析治疗的更佳选择？

Twice-Weekly Hemodialysis in China: Can It Be A Better Option for Initiation or Maintenance Dialysis Therapy?

作者信息

Yan Yucheng, Ramirez Sylvia, Anand Shuchi, Qian Jiaqi, Zuo Li

机构信息

DaVita Hospital Management Consulting (Shanghai) Co.Ltd., Shanghai, China.

DaVita Healthcare Partners Inc, Singapore.

出版信息

Semin Dial. 2017 May;30(3):277-281. doi: 10.1111/sdi.12588. Epub 2017 Mar 26.

DOI:10.1111/sdi.12588
PMID:28345136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5545085/
Abstract

Cumulative evidence indicates it may be worthwhile revisiting the twice-weekly hemodialysis (HD) regimen as a valid option for individualized or incremental treatments for selected patients with end-stage renal disease. In this article, we will review the current evidences on the potential pros and cons of twice-weekly HD compared to thrice-weekly HD including China's experience in the practice of twice-weekly HD. A prudent patient selection and close dialysis adequacy monitoring might be necessary for this medical treatment choice. More randomized prospective controlled studies for the critical evaluation of twice-weekly dialysis are encouraged.

摘要

越来越多的证据表明，对于某些终末期肾病患者，将每周两次的血液透析（HD）方案作为个体化或递增治疗的有效选择可能是值得的。在本文中，我们将回顾与每周三次HD相比，每周两次HD潜在利弊的现有证据，包括中国在每周两次HD实践中的经验。对于这种治疗选择，谨慎选择患者并密切监测透析充分性可能是必要的。鼓励开展更多随机前瞻性对照研究，以对每周两次透析进行批判性评估。

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本文引用的文献

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Anemia Management in the China Dialysis Outcomes and Practice Patterns Study.中国透析结局和实践模式研究中的贫血管理
Blood Purif. 2016;42(1):33-43. doi: 10.1159/000442741. Epub 2016 Mar 31.
2
Comparison of Outcomes with Arteriovenous Fistula and Arteriovenous Graft for Vascular Access in Hemodialysis: A Prospective Cohort Study.动静脉内瘘与动静脉移植物用于血液透析血管通路的结局比较：一项前瞻性队列研究
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Comparison of Clinical Outcome Between Twice-Weekly and Thrice-Weekly Hemodialysis in Patients With Residual Kidney Function.残余肾功能患者每周两次与每周三次血液透析的临床结局比较
Medicine (Baltimore). 2016 Feb;95(7):e2767. doi: 10.1097/MD.0000000000002767.
4
Incremental Hemodialysis, Residual Kidney Function, and Mortality Risk in Incident Dialysis Patients: A Cohort Study.新透析患者的递增式血液透析、残余肾功能与死亡风险：一项队列研究
Am J Kidney Dis. 2016 Aug;68(2):256-265. doi: 10.1053/j.ajkd.2016.01.008. Epub 2016 Feb 9.
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Adequacy of twice weekly hemodialysis in end stage renal disease patients at a tertiary care dialysis centre.三级医疗透析中心终末期肾病患者每周两次血液透析的充分性
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What Is Known and Unknown About Twice-Weekly Hemodialysis.关于每周两次血液透析的已知与未知情况
Blood Purif. 2015;40(4):298-305. doi: 10.1159/000441577. Epub 2015 Nov 17.
7
KDOQI Clinical Practice Guideline for Hemodialysis Adequacy: 2015 update.KDOQI 临床实践指南：血液透析充分性 2015 年更新版。
Am J Kidney Dis. 2015 Nov;66(5):884-930. doi: 10.1053/j.ajkd.2015.07.015.
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Dialysis dose and risk factors for death among ESRD patients treated with twice-weekly hemodialysis: a prospective cohort study.每周两次血液透析治疗的终末期肾病患者的透析剂量与死亡风险因素：一项前瞻性队列研究。
Blood Purif. 2014;38(3-4):253-62. doi: 10.1159/000368885. Epub 2015 Jan 6.
9
The incremental treatment of ESRD: a low-protein diet combined with weekly hemodialysis may be beneficial for selected patients.终末期肾病的增量治疗：低蛋白饮食联合每周一次的血液透析可能对部分患者有益。
BMC Nephrol. 2014 Oct 29;15:172. doi: 10.1186/1471-2369-15-172.
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Am J Nephrol. 2014;40(2):140-50. doi: 10.1159/000365819. Epub 2014 Aug 23.