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夜间血液透析的研究进展
林鹭,汤晓静,申嫒文,孙博,郁胜强*
0
(第二军医大学长征医院肾内科, 解放军肾脏病研究所, 上海 200003
*通信作者)
摘要:
血液透析是治疗终末期肾脏病(ESRD)患者的主要方法之一,其中以传统血液透析(CHD)应用最为广泛。随着透析技术的发展,透析患者的生存时间显著延长,但死亡率仍居高不下。1963年首次提出的夜间血液透析(NHD)是一种新型的血液透析方式,NHD相对于CHD大大延长了透析时间,在控制血压及心血管功能、纠正贫血、改善钙磷代谢及营养状态、提高患者生活质量方面具有一定优势。
关键词:  终末期肾脏病  肾透析  夜间血液透析  心血管疾病  贫血  钙磷代谢
DOI:10.16781/j.0258-879x.2017.08.0982
投稿时间:2017-04-20修订日期:2017-06-15
基金项目:国家自然科学基金(81370784).
Research progress of nocturnal hemodialysis
LIN Lu,TANG Xiao-jing,SHEN Ai-wen,SUN Bo,YU Sheng-qiang*
(Department of Nephrology, Kidney Institute of PLA, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
*Corresponding author)
Abstract:
Hemodialysis is one of the main treatment methods for patients with end stage renal disease (ESRD), and conventional hemodialysis (CHD) is the most widely used one. With the development of dialysis technology, the survival time of hemodialysis patients is significantly prolonged, but the mortality remains high. Nocturnal hemodialysis (NHD) was proposed in 1963 as a new type of dialysis, and it has greatly extended time of dialysis as compared with CHD. NHD has advantages in controlling blood pressure and cardiovascular function, correcting anemia, improving calcium and phosphorus metabolism and nutritional status, and enhancing quality of life of hemodialysis patients.
Key words:  end stage renal disease  renal dialysis  nocturnal hemodialysis  cardiovascular diseases  anemia  calcium and phosphorus metabolism