临床误诊误治2026，Vol.39Issue(3)：53-59,7.DOI:10.3969/j.issn.1002-3429.2026.03.009
肺部超声B线数量与腹膜透析患者体质量变化、ECW/TBW关系及评估容量负荷价值
Relationship between the number of lung ultrasound B-lines and changes in body weight changes,ECW/TBW ratio,and its value in evaluating volume load in peritoneal dialysis patients
摘要
Abstract
Objective To analyze the relationship between the number of lung ultrasound B-lines and body weight changes,extracellular water(ECW)/total body water(TBW)ratio in patients undergoing peritoneal dialysis,as well as its value in evaluating the volume load.Methods A total of 100 patients with end-stage renal disease(ESRD)undergoing peritoneal dialysis admitted from September 2021 to August 2023 were selected as the research subjects.The changes in the number of lung ultrasound B-lines,ECW/TBW ratio,and body weight before and after dialysis were compared,and the correlation between the number of lung ultrasound B-lines and body weight change,ultrafiltration volume,ECW/TBW,as well as the consistency of lung ultrasound and body composition analysis in volume load assessment,was analyzed.Results The number of B-lines,ECW/TBW ratioand body weight changes in peritoneal dialysis patients after dialysis were less or lower than those before dialysis(P<0.05).The number of B-lines before dialysis was positively correlated with the increase of body weight(P<0.05),and the number of B-lines after dialysis was positively correlated with the remaining body weight(P<0.05).The percentage change of B-line number before and after dialysis was positively correlated with body weight loss and ultrafiltration volume(P<0.05).The number of B lines before and after dialysis was positively correlated with ECW/TBW(P<0.05),and the percentage change in the number of B-lines before and after dialysis was positively correlated with the percentage change in ECW/TBW ratio(P<0.05).The consistency of lung ultrasound and body composition analysis in evaluating the volume load of peritoneal dialysis patients was 97.00%,and the Kappa value was 0.955(95%CI:0.831,0.999).Conclusion The number of B-lines before and after peritoneal dialysis in patients with ESRD is closely related to ECW/TBW ratio and body weight changes.Furthermore,lung ultrasound and body composition analysis have good consistency in evaluating patients'volume load,which can provide guidance for the treatment of peritoneal dialysis patients.关键词
终末期肾病/腹膜透析/肺部超声/人体成分分析/容量负荷/体质量/细胞外液/总体液Key words
end-stage renal disease/peritoneal dialysis/lung ultrasound/body composition analysis/volume load/body weight/extracellular water/total body water引用本文复制引用
吴超然,吴楠,田璐,陈玉华,金立群,王雪芹..肺部超声B线数量与腹膜透析患者体质量变化、ECW/TBW关系及评估容量负荷价值[J].临床误诊误治,2026,39(3):53-59,7.基金项目
河北省中医药管理局2022年度中医药类科研计划课题(20220303) （20220303）
廊坊市科学技术研究与发展计划项目(2023013043) （2023013043）
