Current status of dialytic therapy in Korea
Current status of dialytic therapy in Korea
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DOI：
10.1046/j.1440-1797.8.s.5.x
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发表时间：
2003-10-01
期刊：
影响因子：
2.5
通讯作者：
Bang, BK
中科院分区：
文献类型：
--
作者：
Kim, SY;Jin, DC;Bang, BK
韩国肾脏病学会终末期肾病（ESRD）登记委员会报告了2001年底韩国透析治疗的状况，该委员会通过互联网在线登记计划收集数据。透析中心的数量为335个，血液透析机的数量为5 529台。接受透析的患者总数为23 057例（血液透析17 568例，腹膜透析5489例）。透析患者的患病率和发病率分别为每百万人口477.5例和96.4例。终末期肾病最常见的原发病因是糖尿病肾病（41.5%）、高血压肾硬化（15.4%）和慢性肾小球肾炎（13.6%）。86%的血液透析患者每周接受3次透析治疗，男性患者的平均尿素减少率为66.7 +/- 8.68%，平均Kt/V为1.250 +/- 0.292;女性患者为1.526 +/- 0.361。血液透析5年技术生存率为30.2%，腹膜透析5年技术生存率为13.8%。血液透析患者的常见并发症为高血压（43.3%）、消化道疾病（8.0%）、充血性心力衰竭（7.6%）;腹膜透析患者的常见并发症为高血压（28.8%）、充血性心力衰竭（5.0%）、腹膜炎（4.8%）。最常见的死亡原因是心脏病（26.9%）、血管疾病（包括脑血管意外）（22.7%）和感染（17.8%）。
The status of dialytic therapy in Korea at the end of 2001 was reported by the end-stage renal disease (ESRD) registry committee of Korean Society of Nephrology, where data were collected through an internet on-line registry program. The number of dialysis centres was 335 and the number of haemodialysis machines was 5529. The total number of patients with dialysis was 23 057 (haemodialysis 17 568, peritoneal dialysis 5489). Prevalence and incidence of dialysis patients were 477.5 and 96.4 patients per million population. The most common primary cause of end-stage renal diseases was diabetic nephropathy (41.5%), hypertensive nephrosclerosis (15.4%), and chronic glomerulonephritis (13.6%). Eighty-six percent of haemodialysis patients were on dialysis therapy three times a week, the mean urea reduction ratio was 66.7 +/- 8.68% and mean Kt/V was 1.250 +/- 0.292 in male patients; 1.526 +/- 0.361 in female patients. The technical survival of haemodialysis in 5 years was 30.2% and peritoneal dialysis was 13.8%. The common complication of haemodialysis patients was hypertension (43.3%), gastrointestinal disease other than peptic ulcer (8.0%), congestive heart failure (7.6%), and of peritoneal dialysis patients were also hypertension (28.8%), congestive heart failure (5.0%), and peritonitis (4.8%). The most common causes of death were cardiac diseases (26.9%), vascular diseases, including cerebrovascular accidents (22.7%), and infection (17.8%).