지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Purpose: The purpose of this study is to identify the effect of low sodium dialysate (LSD) rather than conventional dialysate on interdialytic weight gain (IWG), blood pressure (BP), and intradialytic side-effects (ISEs) in patients on maintenance hemodialysis (HD). Methods: The study was performed in 43 patients, who were treated in the university hospital over 8 weeks. Each participant’s serum sodium set point was measured using dialysate sodium 140 mEq/L during the first 4 weeks. For the next 4 weeks dialysate sodium concentrate (134,136,and138 mEq/L) was provided to each participant but only to an experimental group (EG) (n=22)based on the individual set point, although 140 mEq/L dialysate was given to all of the control group (CG)(n=21). Consequently, outcomes including IWG, BP, and ISE were evaluated. Results: In EG, difference of pre-HD SBP (p=.047) and post-HD serum sodium (p=.006) were significantly decreased compared to CG. Also,ISEs was not more frequent in EG. However, the differences were not statistically significant, IWG (kg & %),pre-HD DBP, post-HD SBP & DBP, and serum osmolality in EG. Conclusion: Individual application of LSD in patients on maintenance hemodialysis is beneficial to decrease pre-HD SBP and post-HD serum sodium without increasing ISE. Therefore, LSD can be better treatment than conventional dialysate.
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참고문헌 (28)
참고문헌 신청
Agarwal, R. / 2003 / Prevalence, treatment, and control of hypertension in chronic hemodialysis patients in the United States / The American Journal of Medicine 115 (4) : 29
Arramreddy, R. / 2012 / Individualized reduction in dialysate sodium in conventional in-center hemodialysis / Hemodialysis International 16 (4) : 473 ~ 480
Chazot, C. / 1995 / Interdialysis blood pressure control by long haemodialysis sessions / Nephrology Dialysis Transplantation 10 (6) : 831 ~ 837
Daugirdas, J. T. / 2006 / 최신 투석 매뉴얼 / 군자출판사
De Paula, F. M. / 2004 / Clinical consequences of an individualized dialysate sodium prescription in hemodialysis patients / Kidney International 66 (3) : 1232 ~ 1238
Arramreddy, R. / 2012 / Individualized reduction in dialysate sodium in conventional in-center hemodialysis / Hemodialysis International 16 (4) : 473 ~ 480
Chazot, C. / 1995 / Interdialysis blood pressure control by long haemodialysis sessions / Nephrology Dialysis Transplantation 10 (6) : 831 ~ 837
Daugirdas, J. T. / 2006 / 최신 투석 매뉴얼 / 군자출판사
De Paula, F. M. / 2004 / Clinical consequences of an individualized dialysate sodium prescription in hemodialysis patients / Kidney International 66 (3) : 1232 ~ 1238
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