Daily dialysis can improve the quality of life in patients with end-stage renal disease2017-01-24 15:58
Daily dialysis can improve the quality of life in patients with end-stage renal disease
Abstract: compared with the classic weekly three dialysis, hemodialysis at home every day is better, it will change the overall treatment of patients with advanced nephropathy.
On October 18th Toronto Electric is a Canada show that compared with the classic three times a week at home daily dialysis, hemodialysis better curative effect, it will change the mode of treatment of patients with advanced kidney disease. The study was presented here at the annual meeting of the American Society of nephrology. The results showed that the physiological, biochemical and hematological indexes were significantly improved, and the quality of life was improved in the patients who received dialysis every day.
Lindsay, a professor of medicine at the University of Western Robert, said, "I've been fighting for 30 years, and this is the only major breakthrough I've ever seen."."
The subjects were randomly assigned to receive a day - to - day dialysis, typically 1.5 to 2.5 hours of dialysis per week, between 5 and 7 dialysis sessions, or at night for up to 7 hours of dialysis. At the same time, a control group, including 20 patients with age, sex, other complications and the type of dialysis treatment. The study is considered to be the first global study of daily dialysis.
The mean age of the patients was 59 years. To avoid the fact that the study was conducted to select patients who were in good condition, Lindsay said the study also included an elderly, bilateral amputee, and most patients had significant complications.
The study has been carried out for nearly two years. The data presented to the ASN meeting showed that each patient was followed up for an average of 10.4 months, or a total of up to 229 patients in the follow-up period.
The researchers noted that, based on urea kinetics, daily dialysis was better than conventional dialysis, especially in patients with nocturnal dialysis. This could eventually eliminate the need for dietary restrictions on traditional dialysis. With the removal of restrictions on the fluid, the body fluid balance is easier to achieve, which makes the blood volume and blood pressure better control. Overall, patients were significantly reduced by antihypertensive therapy, with an average of 45%, and the mean arterial pressure was significantly improved, including systolic and diastolic blood pressure. At the same time, the patient's dependence on erythropoietin was also significantly reduced.
The longer term benefits of dialysis are that the patient can recover from the treatment and almost immediately resume normal daily life. So far, few of these patients have been hospitalized, and their number is less than that of the control group. Even if the patient is hospitalized because of other complications, not because of the daily dialysis treatment.
Dr Lindsay said: "there is no doubt that daily dialysis patients life quality, hospitalization rate and blood pressure control are improved, but if you ask me during the day and night dialysis dialysis, which is better, I can not answer your. As far as I'm concerned, they are better than the traditional dialysis treatment, which is ultimately decided by the patient."