書誌事項
- タイトル別名
-
- The target range of plasma ANP level for dry weight adjustment in HD patients
この論文をさがす
説明
Plasma ANP (atrial natriuretic peptide), a parameter of blood volume, is a tool for determination of dry weight (DW) in hemodialysis (HD) patients. However, its definite quantitative criteria has not been established. Especially, the ANP level corresponding to hypovolemia remains unclear. In the present study, we explored the correlation between plasma ANP level and DW in HD patients to develop a concrete guideline for DW adjustment. Post-HD plasma ANP was measured in 58 HD patients, in whom DW had been determined by conventional methods, such as cardio-thoracic ration (CTR) on chest xp, physical examination and blood pressure. Patients were divided into three groups, i.e., hypovolemic, euvolemic and hypervolemic group according to subjective symptoms and objective clinical observation. Post-HD ANP level reported significant differences among the three groups (hypovolemic group: 35.5±5.98pg/mL, euvolemic group: 57.4±4.42pg/mL, hypervolemic group: 137.8±22.7pg/mL). The 10 to 90 percentile of post-HD ANP level in euvolemic group distributed between 25 and 100pg/mL, when post-HD ANP was between 40 and 60pg/mL, the median range in euvolemic group, the possibility that the DW is appropriate was as high as 95.8%. In contrast, when post-HD ANP was over 100pg/mL or below 25pg/mL, the potential for DW to be appropriate was as low as 42.9% and 29.2%, respectively. We concluded that 40-60pg/mL is the target range for post-HD ANP to attain an appropriate DW, and an ANP level over 100pg/mL or below 25pg/mL implies the need for readjustment of DW.
収録刊行物
-
- 日本透析医学会雑誌
-
日本透析医学会雑誌 37 (6), 1417-1422, 2004
一般社団法人 日本透析医学会
- Tweet
詳細情報 詳細情報について
-
- CRID
- 1390001204675251840
-
- NII論文ID
- 130003875250
- 10013293614
-
- NII書誌ID
- AN10432053
-
- ISSN
- 1883082X
- 13403451
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- Crossref
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可
