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振动感觉阈值:透析充分性的一项指标?

Vibration sensory threshold: a guide to adequacy of dialysis?

作者信息

Read D J, Feest T G, Holman R H

出版信息

Proc Eur Dial Transplant Assoc. 1983;19:253-7.

PMID:6348739
Abstract

The vibration sensory threshold (VST) is an easy non-invasive reproducible and sensitive bedside test of peripheral nerve function. It is impaired in pre-dialysis uraemic patients with no clinical evidence of peripheral neuropathy; tends to deteriorate during the first year of dialysis after which it remains relatively constant, and returns towards normal within one week of kidney allograft function. It is unrelated to type of dialysis, acetylator status, average serum creatinine values or serum aluminium. VST may be a valuable monitor of the adequacy of dialysis.

摘要

振动感觉阈值(VST)是一种简单、无创、可重复且敏感的外周神经功能床边检查方法。在无外周神经病变临床证据的透析前尿毒症患者中,该阈值会降低;在透析的第一年中往往会恶化,此后保持相对稳定,并在肾移植功能恢复后一周内恢复正常。它与透析类型、乙酰化状态、平均血清肌酐值或血清铝无关。VST可能是评估透析充分性的一项有价值的监测指标。

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