Raju S F, White A R, Barnes T T, Smith P P, Kirchner K A
Clin Nephrol. 1982 Sep;18(3):126-9.
This study compares the frequency of dialysis disequilibrium symptoms (DDS), in 17 stable non-diabetic chronic hemodialysis patients, during a period using low glucose (200 mg/100 ml) dialyzate to a similar period using a glucose free dialyzate. There was a significant decrease in the total number of symptoms as well as the frequency of headache and post-dialysis fatigue during the low glucose period as compared to the glucose free period. The decrease in nausea or vomiting, and cramps was not significant while frequency of hypotension was unchanged. Evaluation of serum sodium, potassium, BUN, glucose and osmolarity did not reveal significant differences during the two periods. Dialysis with a low glucose bath produces less DDS than glucose free dialyzate.
本研究比较了17例稳定的非糖尿病慢性血液透析患者在使用低葡萄糖（200mg/100ml）透析液期间与使用无葡萄糖透析液的相似时间段内透析失衡症状（DDS）的发生频率。与无葡萄糖时期相比，低葡萄糖时期症状总数以及头痛和透析后疲劳的频率显著降低。恶心或呕吐以及痉挛的减少不显著，而低血压的频率没有变化。两个时期血清钠、钾、尿素氮、葡萄糖和渗透压的评估未显示出显著差异。使用低葡萄糖透析液进行透析比使用无葡萄糖透析液产生的透析失衡症状更少。
