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比較連續性可攜帶式腹膜透析與全自動腹膜透析之差異:關於尿毒素及電解質清除率

Removal of Different Classes of Uremic Toxins and Electrolytes in APD VS. CAPD

摘要


腹膜透析治療包括手動式,如連續性可攜帶式腹膜透析,或機械式,如全自動腹膜透析。近年來,有越來越多的慢性腎衰竭病患選擇全自動腹膜透析。對於以上兩種腹膜透析治療關於長期預後包括死亡率的比較,一直是大家關注的焦點。但是腹膜透析病患的預後議題不僅止於關注死亡率而已,尿毒素及電解質清除率也是其中的一項考量。本文回顧近期相關文獻,試圖探討連續性可攜帶式和全自動腹膜透析關於尿毒素及電解質清除率之差異。

並列摘要


Peritoneal dialysis (PD) can be carried out either manually as in continuous ambulatory peritoneal dialysis (CAPD) or using mechanical devices as in automated PD (APD). Recently, more patients with end stage renal disease choose APD as dialysis modality. Clinicians focus on long-term outcomes such as mortality between different PD modalities but another important issue is the clearance of uremic toxins and electrolytes. This article reviews latest literatures and tries to assess the comparative clearance of CAPD and APD.

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