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SAPD HASTALARINDA SUBKLİNİK HÎPERVOLEMİNİN TESBIT EDİLMESİNDE BİYOELEKTRİK İMPEDANS ANALİZİ

BIOELECTRICAL IMPEDANCE ANALYSIS FOR DETECTION SUBCLINICAL HYPERVOLEMIA IN CAPD PATIENTS

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2002

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Introduction. The absence of clinical clue ofvolume excess does not exclude of hypervolemia. The aim of study was to evaluate the value of bioelectrical impedance analysis (BIA) for detection subclinical hypervolemia in peritoneal dialysis (PD)patients. Patients and Methods Twenty six PD patients (F:13, M:13; mean age: 43,88±2,92) in stable clinical condition and at least six months on PD participated in the study. None of the patients had any clinical sign of hypervolemia. Vena cava inferior diameter (VCD) and BIA mesaurements were performed simultaneously after drainage of peritoneal fluid... Results Seven of 26 patients have VCD higher than llmm/m2and 12 patients have more TBW than upper limit of expected range. All of the patients with high VCD also have high TBW. The patients with high VCD have significantly higher TBW than the patients with normal VCD (67,257±1, 263% vs. 58,232±1, 907% of body weights, p<0.01). Conclusion TBW mesaurement with BIA is very sensitive and easy test for detection of hypervolemia in PD patients. But minor excess of TBW should be confirmed with other methods such as VCD mesaurement.
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Abstract (Original Language): 
Volum fazlalığının klinik ipuçlarının olmaması hipervolemiyi dışlamaz. Bu çalışmanın amacı periton diyalizi (PD) hastalarındaki subklinik hipervoleminin saptanmasında biyoelektrik impedans analizinin (BİA) öneminin değerlendirilmesidir. Hastalar ve metodlar Bu çalışmaya en az altı aydır periton diyaliz (PD) yapılan ve klinik durumu stabil 26 PD hastası dahil edilmiştir( E: 13, K: 13, ortalama yaş: 43.88 ± 2.92 ) Hastaların hiçbirinde hipervoleminin klinik bulgusu yoktu. Vena cava inferior çapı (VCD) ve BİA ölçümü peritoneal sıvı drenajından sonra eş zamanlı olarak yapıldı. Sonuçlar 26 hastanın yedisinde VCD 11 mm/m2' den yüksek bulundu ve 12 hastanın total vücut suyu (TBW) beklenen aralığın üst sınırından daha yüksekti. VCD'si yüksek olan tüm hastaların TBW'si de yüksekti. Yüksek VCD'si olan hastaların TBW'si , normal VCD'si olan hastaların TBW'sine göre anlamlı derecede yüksekti. (vücut ağırlığının %67.257±1.263 ve % 58.232±1.907, p<0.01) Tartışma PD hastalarındaki hipervoleminin araştırılmasında BİA ile TBW ölçümü çok duyarlı ve kolay bir testtir. Ancak TBW' deki minör artışlar VCD ölçümü gibi diğer metodlarla doğrulanmalıdır.
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  • 4
230-232
  • Turkish

REFERENCES

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