Evaluation on adequacy of hemodialysis by on-line clearance monitoring and Kt/V of Correlation Analysis

VernacularTitle:在线尿素清除率监测与尿素清除指数对血液透析充分性的评价及相关性分析
Author: Yong ZHANG ; Weimei HE ; Xi MENG ; Liying CAO ; Yueming YU
Publication Type:Journal Article
Keywords: Urea/AN; Renal dialysis
From: Journal of Chinese Physician 2012;14(2):177-178,181
CountryChina
Language:Chinese
Abstract: ObjectiveTo evaluate the adequacy of hemodialysis by online clearance monitoring (OCM) and Kt/V of correlation analysis.MethodsThe Kt/V values of 48 maintenance hemodialysis patients in the Department of Nephrology of General Hospital of PLA were accessed by both OCM of Germany BeiLang Dialog + hemodialysis machine and single-pool urea kinetic model.The Kt/V calculation value was also checked by the urea dynamics - room variable volume model.The results generated at different time point were compared,including at the real time,before and after appearing through blood by On - line Clearance Monitoring,and correlation analysis of Kt/V value was performed.ResultsThere was no significant difference on evaluating the level of Kt/v by these two methods.The relationship between the results of the two methods was significantly positive related.(r=0.539,P ＜ 0.01).ConclusionsDuring hemodialysis,the OCM option provides an accurate tool for continuous on-line monitoring of urea clearance.