Balaskas E V, Rodela H, Oreopoulos D G
Division of Nephrology, Toronto Western Hospital, Ontario, Canada.
Perit Dial Int. 1993;13 Suppl 2:S490-8.
We studied the effect of intraperitoneal infusion of various volumes and concentrations of dextrose (D) and amino acid (AA) solutions, in a variety of peritoneal dialysis schedules on food intake and biochemical profile in normal and uremic rabbits. Following omentectomy, a peritoneal catheter was implanted. Animals had free access to food, and consumption was measured daily by weight of the remaining food in the cage. We studied the effect of volume (30-50-100 mL/kg), dextrose concentration (0.5-1.5-2.5-4.25-6.6 g/dL) and AA (Travasol based) (2% in Dianeal or glucose-free solution). Dialysis schedules included once/day, twice/day, or four-daily exchanges similar to CAPD. The durations of the exchanges were 4-6 weeks and in certain groups, amino acid exchanges for a week alternated with dextrose exchanges. Our results indicate the following: omentectomy and catheter implantation significantly decrease food intake. There is a significant decrease in food intake after initiation of dialysis that returns to baseline after 2-4 weeks while dialysis continues. Higher volumes (100 mL/kg) decrease food intake significantly, especially with hypertonic solution of either D or AA. There was no difference in food intake between D and AA infusion in any amount of infused volumes. Amino acids do not seem to have a suppressing effect on appetite. However, large volumes and hypertonicity reduce food intake.
我们研究了在各种腹膜透析方案中,向正常和尿毒症兔腹腔内输注不同体积和浓度的葡萄糖(D)和氨基酸(AA)溶液,对食物摄入量和生化指标的影响。在进行网膜切除术后,植入一根腹膜导管。动物可自由进食,每天通过笼中剩余食物的重量来测量食物消耗量。我们研究了体积(30 - 50 - 100 mL/kg)、葡萄糖浓度(0.5 - 1.5 - 2.5 - 4.25 - 6.6 g/dL)和氨基酸(基于Travesol)(在Dianeal或无糖溶液中为2%)的影响。透析方案包括每天一次、每天两次或每四天一次交换,类似于持续性非卧床腹膜透析(CAPD)。交换持续时间为4 - 6周,在某些组中,氨基酸交换一周与葡萄糖交换交替进行。我们的结果表明:网膜切除和导管植入显著降低食物摄入量。开始透析后食物摄入量显著下降,在透析持续进行2 - 4周后恢复到基线水平。较高体积(100 mL/kg)显著降低食物摄入量,尤其是使用高渗的D或AA溶液时。在任何输注体积下,D和AA输注之间的食物摄入量没有差异。氨基酸似乎对食欲没有抑制作用。然而,大容量和高渗性会减少食物摄入量。