基础代谢率评估腹膜透析充分性的研究

摘要

Objective To investigate the relationship between REE and peritoneal dialysis adequacy.Methods To enrolled 62 patients who newly accepted CAPD,and collected data of biochemical index、REE、PET、Ccr and Kt/V. Based on the Value of REE,the patients were divided into two groups,high and low REE.Then to analysis the differ-ence between two groups.Results The difference in sex was very obviously,the high REE group patients all were male,then male patients in low REE groups was only 19.4%.There were statistical significance in serum BUN、Cr、phosphor and Kt/V,but no statistical significance in Ccr.Conclusion REE can reflects the level of serum BUN Cr and Kt/V,so REE may be an index to predict the adequacy of peritoneal dialysis.%目的：研究基础代谢指标静息能量消耗（REE）与腹膜透析充分性的关系，探讨是否可用 REE 预测腹膜透析充分性。方法收集新入腹膜透析62例患者一般情况、生化、腹膜平衡试验、Ccr、Kt／V 及 REE 等资料，根据 REE高低分为2组，对组间各项资料进行统计分析。结果两组间性别差异明显，高 REE 组均为男性，低 REE 组男性仅为19．4％，且两组尿素氮、血肌酐、尿素氮总量、血磷存在统计学差异；两组间尿素清除指数（Kt／V）也存在统计学差异，但肌酐清除率（Ccr）差异无统计学意义。结论REE 能较好反映腹膜透析患者血肌酐、尿素氮及 Kt／V 水平，REE越高透析充分性越低，因此，REE 可能可以作为预测腹膜透析透析充分性的指标。