Long-term efficacy of intermittent peritoneal dialysis using various doses

Zhang,Zhi-Yong; Zhou,Chun-Hua; Li,Ming-Xu; Yu,Yong-Wu

doi:10.3892/etm.2011.444

March 2012 Volume 3 Issue 3

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March 2012 Volume 3 Issue 3

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Article

Long-term efficacy of intermittent peritoneal dialysis using various doses

Authors:
- Zhi-Yong Zhang
- Chun-Hua Zhou
- Ming-Xu Li
- Yong-Wu Yu
View Affiliations / Copyright

Affiliations: Department of Nephrology, Naval General Hospital of PLA, Beijing 100048, P.R. China
Pages: 519-524
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Published online on: December 30, 2011

https://doi.org/10.3892/etm.2011.444
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Abstract

The objective of the present study was to investigate the long-term clinical efficacy of intermittent peritoneal dialysis (IPD) using various doses and to explore the most suitable dialysis dose and practice pattern for patients. A total of 52 inpatients/outpatients who had undergone IPD for more than 5 years were recruited and divided into three groups according to the dialysis dose: 4 liters in Group A, 6 liters in Group B and 8 liters in Group C. The dwell time was 4 h. All patients were fasted overnight. The dialysis adequacy, nutritional status, complication control, blood pressure and intra-abdominal infection were determined and observed among these patients. Barthel index (BI) and Hamilton Depression Scale (HAMD) were employed to measure the activities of daily living (ADL) and degree of depression, respectively. The dialysis adequacy and ultrafiltration volume in Group A were lower than those in Groups B and C, but the residual urine volume was larger than that in the latter two groups. In addition, there was a marked difference in the control of complications between Group A and Groups B and C. When compared to Groups A and B, the nutritional status in Group C was significantly decreased, the mean arterial pressure and intra-abdominal infection rates were dramatically increased, and the HAMD scores were also higher (P<0.05). No significant difference was noted in the BI. For patients undergoing long-term IPD, individualized dialysis dose may benefit the dialysis adequacy, nutritional status, control of complications, blood pressure, rate of intra-abdominal infection, ADL and depression.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Long-term efficacy of intermittent peritoneal dialysis using various doses

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