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首页> 外文期刊>Revista de la Sociedad Espanola de Enfermeria Nefrologica >Comparative study of the efficacy of two online HDF techniques.
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Comparative study of the efficacy of two online HDF techniques.

机译：两种在线HDF技术功效的比较研究。

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TERRY OSSET, Carmen et al. Comparative study of the efficacy of two online HDF techniques. Rev Soc Esp Enferm Nefrol [online]. 2006, vol.9, n.4, pp.13-17. ISSN 1139-1375.There are two online haemodiafiltration (HDF) techniques: pre-dilutional and post-dilutional, the latter being the most frequently used. Our study compares the efficacy of two HDF techniques, post-dilutional and mixed, analysing the frequency of cases in which there was an increase in trans-membrane pressure, preventing continuation of the treatment. The study consisted of two phases, in the first phase, (post-dilutional online HDF), we reduced the infusion rate (Qi) every time the trans-membrane pressure (TMP) was ≥ 350 mmHg and we moved on to conventional haemodialysis if Qi was 30 ml/min. In the second phase, (mixed online HDF), we changed to pre-dilutional during the last hour and every time the TMP was ≥ 350 mmHg. In phase 1 haemoconcentration (HC) appeared in 38.83% of sessions and in phase 2 in 18.06%. During the last hour of treatment, HC appeared in 119 cases in phase 1 and in 15 cases in phase 2. Coagulation of the system occurred on 24 occasions during phase 1 and on 2 occasions during phase 2. Hypotension occurred on 80 occasions in phase 1 and on 69 in phase 2. In light of the increase in TMP during post-dilutional HDF, the mixed technique proved more efficient than continuing in post-dilutional with a reduction of Qi. With the mixed method the elimination of de ?2 microglobulin was greater and the efficacy of the technique was not reduced.
机译：TERRY OSSET，Carmen等人。两种在线HDF技术功效的比较研究。 Rev Soc Esp Enferm Nefrol [在线]。 2006年，第9卷，第4期，第13-17页。 ISSN 1139-1375。有两种在线血液透析滤过（HDF）技术：稀释前和稀释后，后者是最常用的。我们的研究比较了两种HDF技术（稀释后的和混合的）的功效，分析了跨膜压升高，阻止继续治疗的情况。该研究包括两个阶段，在第一阶段（稀释后在线HDF），每当跨膜压力（TMP）≥350 mmHg时，我们就降低输注速度（Qi），如果可能，我们继续进行常规血液透析Qi为30毫升/分钟。在第二阶段（混合在线HDF）中，我们在最后一个小时内以及每次TMP≥350 mmHg时都进行了稀释前处理。在第1阶段，血液浓缩（HC）占38.83％，在第2阶段占18.06％。在治疗的最后一个小时，第一阶段出现119例，第二阶段出现了15例HC。在第一阶段，系统发生了24次凝血，第二阶段出现了2次。低血压在第一阶段发生了80次。以及在第2阶段中的69。在稀释后HDF期间TMP升高的情况下，混合技术被证明比在稀释后继续进行（降低Qi）更有效。用混合方法消除了β2微球蛋白更大，并且该技术的功效没有降低。

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