首次及后续使用血液透析器对患者健康的影响。症状和事件发生率分析以及与新透析器使用相关综合征的描述。

Effect of first and subsequent use of hemodialyzers on patient well-being. Analysis of the incidence of symptoms and events and description of a syndrome associated with new dialyzer use.

作者信息

Robson M D, Charoenpanich R, Kant K S, Peterson D W, Flynn J, Cathey M, Pollak V E

出版信息

Am J Nephrol. 1986;6(2):101-6. doi: 10.1159/000167063.

Abstract

To determine the effect of multiple dialyzer use on intradialytic symptoms, data from 26,592 successive dialyses on 147 patients were analyzed. Over the 26-month period of study 4,933 new dialyzers were used. All symptoms, considered together, occurred 1.3 times more frequently during the initial than during the subsequent use of the dialyzer. No symptom occurred more frequently in the second or subsequent use of the dialyzer. Concurrent chest and back pain were 41 times more frequent when the dialyzer was used for the first time. A syndrome associated with the first use of the dialyzer is described.

摘要

为确定多次使用透析器对透析期间症状的影响，分析了147例患者连续26592次透析的数据。在为期26个月的研究期间，共使用了4933个新透析器。综合考虑所有症状，在透析器首次使用期间出现的频率比后续使用期间高1.3倍。在透析器第二次或后续使用时，没有任何症状出现得更频繁。首次使用透析器时，并发胸痛和背痛的频率高出41倍。本文描述了一种与首次使用透析器相关的综合征。