適量調整腹膜透析處方與評估

Adjust Adequate Prescription of PD and Evaluation

鄭靜宜(Ching-I Cheng) ； 陳怡婷(Yi-Ting Chen) ； 黃政文(Jenq-Wen Huang) ； 劉蕙婷(Hui-Ting Liu) ； 姜至剛(Chih-Kang Chiang)

《腎臟與透析》 32卷3期 (2020/09) Pp. 155-159

https://doi.org/10.6340/KD.202009_32(3).0010

摘要

末期腎病患者接受腹膜透析作為腎臟替代治療，須定期評估透析指標並適時調整腹膜透析處方，以達到適量透析的目標。適量腹膜透析涵蓋殘餘腎功能、肌酸酐及尿素氮廓清率、水分平衡、營養狀態、鈣磷平衡與否，本文藉由案例分析及處方調整，更容易瞭解適量透析之重要性。

關鍵字

腹膜透析 ； 適量透析 ； 殘餘腎功能

並列摘要

End-stage renal disease patients receive peritoneal dialysis as a renal replacement therapy. The dialysis index must be regularly evaluated to achieve the target of adequacy. The definition of adequacy of peritoneal dialysis includes residual renal function, creatinine and urea clearance, fluid balance, nutrition and calcium, and phosphorus balance. Through this case discussion, we demonstrate the importance of ＂adequacy＂ and how to adjust dialysate regimen to achieve the goals of peritoneal dialysis.

並列關鍵字

peritoneal dialysis ； adequacy ； residual renal function