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STUDY THE CHANGE OF BODY FLUID STATUS AND INFERIOR VENA CAVA DIAMETER BEFORE AND AFTER DIALYSIS IN PATIENTS WITH CHRONIC KIDNEY DISEASE
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Abstract
Objective: Evaluate the changes of body fluid status and inferior vena cava diameter by ultrasound before and after dialysis in patients with chronic kidney disease. Subjects and methods: Cross-sectional descriptive study in 70 chronic kidney disease patients on dialysis from January 2023 to June 2023; measure the size of the inferior vena cava by ultrasound before and after dialysis; Estimate body fluid status based on IVC-CI. Results: Patients with chronic kidney disease had BMI within the normal range of 64.3%, overweight was 17.1%, and level I obesity was 7.1%. The average body skin area (BSA) of the study subjects was 1.56 ± 0.15 m2. Before dialysis, patients with excess body fluid accounted for 41.43%, patients with normal fluid status accounted for 58.57%. After dialysis, patients with excess body fluids account for 20%, patients with normal body fluids account for 78.6%, and patients with deficient body fluids account for 1.4%. There is a correlation between ultrafiltration volume and the change in IVC-CI index before and after dialysis (p<0.05). Conclusion: There is a relationship between changes in body fluid status and the index of inferior vena cava collapse before and after dialysis in patients with chronic kidney disease.
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Keywords
Body fluids, inferior vena cava, chronic kidney disease, hemodialysis
References
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