nefrНефрологияNephrology (Saint-Petersburg)1561-62742541-9439Pavlov First Saint-Petersburg State Medical University10.24884/1561-6274-2013-17-4-49-57nefr-464Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESПРИМЕНЕНИЕ БИОИМПЕДАНСНОГО МОНИТОРА СОСТАВА ТЕЛА (ВСМ) В КЛИНИЧЕСКОЙ ПРАКТИКЕ У ДИАЛИЗНЫХ БОЛЬНЫХ (ОБЗОР ЛИТЕРАТУРЫ)APPLICATION BIOIMPEDANCE BODY COMPOSITION МОNITOR (BCM) IN CLINICAL PRACTICE IN DIALYSIS PATIENTS (LITERATURE REVIEW)РахматуллинаЛ. Н.RakhmatullinaL. N.

Кафедра внутренних болезней и нефрологии 

195067, Санкт-Петербург, Пискарёвский пр-т, д. 47. Тел.: 89117231143

Leisan_83@mail.ruГуревичК. Я.GurevichK. Y.Северо-Западный государственный медицинский университет им. И.И.МечниковаRussian FederationFresenius Medical CareRussian Federation2013100420131744957Copyright © Рахматуллина Л.Н., Гуревич К.Я., 20132013Рахматуллина Л.Н., Гуревич К.Я.Rakhmatullina L.N., Gurevich K.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephrolog.ru/jour/article/view/464

Адекватный контроль гидратации играет важную роль в лечении диализных больных. Хорошо известно, что хроническая перегрузка жидкостью вызывает гипертензию и гипертрофию левого желудочка, напротив, дегидратация может быть связана с возникновением интрадиализных осложнений. Гипергидратация и дегидратация являются причинами увеличения заболеваемости и смертности у больных на диализе. Точное определение состояния гидратации у диализных больных остается сложной задачей и часто основывается на клинических критериях из-за отсутствия точных измерительных инструментов. Метод биоимпедансной спектроскопии определяет состояние гидратации и состава тела, достоверность которых была подтверждена методами изотопного разведения и другими референтными методами для определения состава тела.

Adequate control of hydration plays an important role in the treatment of dialysis patients. Well known that chronic fluid overload causes hypertension and left ventricular hypertrophy, however dehydration can be associated with intradialysis complications. Hyperhydration and dehydration associated with increased morbidity and mortality in patients on dialysis. The exact definition of the state of hydration in dialysis patients remains a challenge, and is based on clinical criteria and unavailability of accurate measuring instruments. Bioimpedance spectroscopy method determines the state of hydration and body composition, which reliability had been confirmed by isotopic dilution and other reference methods for the determination of body composition.

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The authors declare that there are no conflicts of interest present.