{"id":8716,"date":"2025-10-29T12:20:36","date_gmt":"2025-10-29T17:20:36","guid":{"rendered":"https:\/\/ami.advancedrenaleducation.com\/wparep\/asiapacific\/?post_type=article&#038;p=8716"},"modified":"2025-10-29T12:29:22","modified_gmt":"2025-10-29T17:29:22","slug":"%eb%8b%b9%eb%87%a8%eb%b3%91-%ed%99%98%ec%9e%90%eb%a5%bc-%ec%9c%84%ed%95%9c-%eb%b3%b5%eb%a7%89%ed%88%ac%ec%84%9dpd%ec%b2%98%eb%b0%a9","status":"publish","type":"article","link":"https:\/\/ami.advancedrenaleducation.com\/wparep\/asiapacific\/article\/%eb%8b%b9%eb%87%a8%eb%b3%91-%ed%99%98%ec%9e%90%eb%a5%bc-%ec%9c%84%ed%95%9c-%eb%b3%b5%eb%a7%89%ed%88%ac%ec%84%9dpd%ec%b2%98%eb%b0%a9\/","title":{"rendered":"\ub2f9\ub1e8\ubcd1 \ud658\uc790\ub97c \uc704\ud55c \ubcf5\ub9c9\ud22c\uc11d(PD)\ucc98\ubc29"},"content":{"rendered":"<p>\ub2f9\ub1e8\ubcd1\uc740 \ub9d0\uae30\ucf69\ud325\ubcd1(ESRD)\uc758 \uc8fc\uc694 \uc6d0\uc778 \uc911 \ud558\ub098\uc774\uba70, CKD \ud658\uc790\uc758 \uc57d 40%\uac00 \ub2f9\ub1e8\ubcd1\uc744 \uc553\uace0 \uc788\uc5b4 ESRD \ud658\uc790\uad70\uc5d0\uc11c \uc911\uc694\ud55c \uc9c8\ud658\uc73c\ub85c \uac04\uc8fc\ub429\ub2c8\ub2e4(1). \ube44\ub2f9\ub1e8 \ud658\uc790\uc5d0 \ube44\ud574, \ub2f9\ub1e8 \ud658\uc790\ub294 \uc2ec\ud608\uad00 \uc9c8\ud658, \uccb4\uc561 \ubd88\uade0\ud615, \uc0b6\uc758 \uc9c8 \uc800\ud558, \uc794\uc5ec \ucf69\ud325 \uae30\ub2a5 \uac10\uc18c\ub97c \ud3ec\ud568\ud55c \ud569\ubcd1\uc99d \ubc0f \ub3d9\ubc18\uc9c8\ud658\uc758 \uc704\ud5d8\uc774 \ub354 \ub192\uc2b5\ub2c8\ub2e4(2,3). \ub610\ud55c \ub2f9\ub1e8 \ud658\uc790\ub294 \ud22c\uc11d \uc2dc\uc791 \uc774\ud6c4 \ub192\uc740 \uae30\uc220 \uc2e4\ud328\uc728(technique failure rates)\uacfc \ub354\ubd88\uc5b4 \uc774\ud658\uc728 \ubc0f \uc0ac\ub9dd\ub960\uacfc \uad00\ub828\ub41c \ub354 \ub098\uc05c \uacb0\uacfc\ub97c \uacaa\uc2b5\ub2c8\ub2e4(2,4). \ub2f9\ub1e8\ubcd1 \ud658\uc790\uc5d0\uac8c \ubcf5\ub9c9\ud22c\uc11d(PD) \ucc98\ubc29\uc744 \uacb0\uc815\ud560 \ub54c\uc5d0\ub294 \uc774\ub7ec\ud55c \ubaa8\ub4e0 \ub9e4\uac1c\ubcc0\uc218\ub97c \uace0\ub824\ud574\uc57c \ud569\ub2c8\ub2e4.<\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:360}\">\ud22c\uc11d \uc801\uc815\uc131\uc5d0 \uad00\ud574, K\/DOQI \uc791\uc5c5\uadf8\ub8f9\uc740 \ubaa8\ub4e0 \ubcf5\ub9c9\ud22c\uc11d \ud658\uc790\uc5d0\uac8c \uc8fc\ub2f9 \ucd5c\uc18c 1.7 \uc774\uc0c1\uc758 Kt\/Vurea \ubaa9\ud45c\uce58\ub97c \uad8c\uc7a5\ud569\ub2c8\ub2e4(5). ADEMEX \uc5f0\uad6c\uc5d0\uc11c\ub294 \uccad\uc18c\uc728\uc744 \uae30\uc900\uc73c\ub85c \ud55c PD \ucc98\ubc29 \uacb0\uacfc\ub97c \ud3c9\uac00\ud588\ub294\ub370, \ub2f9\ub1e8\ubcd1 \ud658\uc790 \ud558\uc704 \uadf8\ub8f9\uc740 \uc804\uccb4 \uadf8\ub8f9\uacfc \ub3d9\uc77c\ud55c \uacb0\uacfc\ub97c \ubcf4\uc5ec\uc8fc\uc5b4 \ub2f9\ub1e8\ubcd1 \ud658\uc790\ub3c4 K\/DOQI\uc758 Kt\/Vurea \ubaa9\ud45c\uce58\ub97c \ub2ec\uc131\ud560 \uc218 \uc788\ub294 \uac00\ub2a5\uc131\uc744 \ubcf4\uc5ec\uc8fc\uc5c8\uc2b5\ub2c8\ub2e4(6). \uc804\ubc18\uc801\uc73c\ub85c, Kt\/Vurea\ub294 \uac01 \ud658\uc790\uc758 \ubc18\uc751\uc5d0 \ub9de\uac8c \uac1c\ubcc4\uc801\uc73c\ub85c \uc870\uc815\ub418\uc5b4\uc57c \ud569\ub2c8\ub2e4. <\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:360}\">PD \ucc98\ubc29\uc740 \ub2f9\ub1e8\ubcd1 \ud658\uc790\ub97c \ud3ec\ud568\ud55c \ubaa8\ub4e0 \ud658\uc790\uc5d0 \ub300\ud574 \uac1c\ubcc4 \ud658\uc790\uc758 \uce58\ub8cc \ubaa9\ud45c, \ub3d9\uc5ed\ud559 \ubaa8\ub378\ub9c1 \ubc0f \ud658\uc790\uc758 \uc120\ud638\ub3c4\ub97c \uae30\ubc18\uc73c\ub85c \ud574\uc57c \ud569\ub2c8\ub2e4. \ub610\ud55c, \uc218\ubd84\uacfc \uc601\uc591 \uc0c1\ud0dc, \uace0\ud608\uc555 \ubc0f \ud608\ub2f9 \uad00\ub9ac \ub4f1\uc758 \uc784\uc0c1 \ud3c9\uac00\uac00 \ubc18\uc601\ub418\uc5b4\uc57c \ud569\ub2c8\ub2e4. \ubcf5\ub9c9 \uccad\uc18c\uc728\uc5d0 \uc601\ud5a5\uc744 \uc8fc\ub294 \ub124 \uac00\uc9c0 \uc8fc\uc694 \uc694\uc18c\ub294 \ud658\uc790 \ubcf5\ub9c9 \uc218\uc1a1 \uc720\ud615(transport type), \ucd1d \ud22c\uc11d\uc561 \uc6a9\ub7c9, \uccb4\ub958 \uc2dc\uac04 \ubc0f \ucd08\uc5ec\uacfc\ub7c9\uc785\ub2c8\ub2e4. PD\ub97c \uc2dc\uc791\ud558\uace0 \ud55c \ub2ec \ud6c4 PD \ucc98\ubc29\uc744 \ud3c9\uac00\ud560 \ub54c, \ubcf5\ub9c9 \uc218\uc1a1, \ucd08\uc5ec\uacfc, \uadf8\ub9ac\uace0 \uccad\uc18c\uc728\uc744 \uce21\uc815\ud558\uae30 \uc704\ud574 \uad8c\uc7a5\ub418\ub294 \uac80\uc0ac\ub97c \uc9c4\ud589\ud574\uc57c \ud569\ub2c8\ub2e4. \uac00\uc7a5 \uc77c\ubc18\uc801\uc778 \uac80\uc0ac\ub294 \ubcf5\ub9c9\ud3c9\ud615\uac80\uc0ac(PET)\uc640 24\uc2dc\uac04 \ubc30\uce58(batch) \uac80\uc0ac\uc785\ub2c8\ub2e4. PET\ub294 \ubcf5\ub9c9\uc758 \uc218\uc1a1 \uc0c1\ud0dc\uc640 \ucd08\uc5ec\uacfc\ub97c \uce21\uc815\ud558\uba70, 24\uc2dc\uac04 \ubc30\uce58\ub294 \ubcf5\ub9c9 \uccad\uc18c\uc728, \uc794\uc5ec \ucf69\ud325 \uae30\ub2a5 \ubc0f \ucd08\uc5ec\uacfc\ub97c \uce21\uc815\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ub610\ud55c \uc601\uc591 \uc0c1\ud0dc\ub97c \ubaa8\ub2c8\ud130\ub9c1\ud560 \uc218\ub3c4 \uc788\uc2b5\ub2c8\ub2e4(7). <\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:360}\">\ub2f9\ub1e8\ubcd1 \ubcf5\ub9c9\ud22c\uc11d \ud658\uc790\uc758 \uccb4\uc561 \uad00\ub9ac\uc5d0\ub294 \uc794\uc5ec \ucf69\ud325 \uae30\ub2a5\uc758 \uc815\ub3c4, \ubcf5\ub9c9\uc758 \uc18c\ubd84\uc790 \uc774\ub3d9 \ub2a5\ub825, \uc5fc\ubd84 \ubc0f \uc218\ubd84 \uc12d\ucde8\ub7c9, \ud608\ub2f9 \uc870\uc808, \ub3d9\ubc18 \uc9c8\ud658, \uadf8\ub9ac\uace0 \uc601\uc591 \uc0c1\ud0dc\ub97c \ud3ec\ud568\ud55c \uc5ec\ub7ec \uc694\uc778\ub4e4\uc774 \uc601\ud5a5\uc744 \ubbf8\uce69\ub2c8\ub2e4. <\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">\ube44\ub2f9\ub1e8\ubcd1 PD \ud658\uc790\uc640 \ub9c8\ucc2c\uac00\uc9c0\ub85c, \ub2f9\ub1e8\ubcd1 \ud658\uc790\uc758 \ubcf5\ub9c9 \uc218\uc1a1 \uc720\ud615\uc740 \ud658\uc790\ub9c8\ub2e4 \ub2e4\ub974\uba70, \uccad\uc18c\uc728\uacfc \ucd08\uc5ec\uacfc\ub97c \uc704\ud55c \uc801\uc808\ud55c \uccb4\ub958 \uc2dc\uac04\uc744 \uacb0\uc815\ud560 \ub54c \uace0\ub824\ub418\uc5b4\uc57c \ud569\ub2c8\ub2e4. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">\ud22c\uc11d\uc561\uc758 \uc591\uc774 \ub9ce\uc744\uc218\ub85d \uc694\uc18c \uccad\uc18c\uc728\uc744 \ub192\uc774\ub294 \ub370 \ub3c4\uc6c0\uc774 \ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ud22c\uc11d\uc561\uc758 \uc591\uc740 \uad50\ud658 \ud69f\uc218\ub098 \uac1c\ubcc4 \uccb4\ub958\ub7c9\uc744 \ub298\ub824 \uc870\uc815\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:360}\">\ucd5c\ub300\ud55c\uc758 \ucd08\uc5ec\uacfc\ub97c \uc704\ud574 \uccb4\ub958 \uc2dc\uac04\uc744 \uac1c\ubcc4\ud654\ud558\ub294 \uac83\uc774 \uc911\uc694\ud569\ub2c8\ub2e4. \uccb4\ub958 \uc2dc\uac04\uc740 \ubcf5\ub9c9 \uc218\uc1a1 \uc720\ud615\uacfc \uc784\uc0c1\uc801 \ud544\uc694\uc5d0 \ub530\ub77c \uacb0\uc815\ub418\uc5b4\uc57c \ud569\ub2c8\ub2e4. Average transporter\uc758 \ucd08\uc5ec\uacfc \ud504\ub85c\ud544\uc744 \ubaa8\ub378\ub9c1\ud55c \uacb0\uacfc, \ucd5c\uace0 \ucd08\uc5ec\uacfc \uc2dc\uac04\uc740 1.5% \ud3ec\ub3c4\ub2f9 \uc6a9\uc561\uc5d0\uc11c 3\uc2dc\uac04, 4.25% \ud3ec\ub3c4\ub2f9 \uc6a9\uc561\uc5d0\uc11c 6\uc2dc\uac04\uc73c\ub85c \ub2e4\uc591\ud569\ub2c8\ub2e4. \ub2f9\ub1e8\ubcd1 \ud658\uc790\uc758 \ub300\ubd80\ubd84\uc740 high transporters \uacbd\ud5a5\uc744 \ubcf4\uc774\uba70, \ubcf5\uac15 \ub0b4 \uc5fc\uc99d \ud754\uc801\uc774 \uc788\uc73c\uba70, \uc9c0\uc18d\uc801 \uc678\ub798 \ubcf5\ub9c9\ud22c\uc11d(CAPD)\uc5d0\uc11c \ub35c \ud6a8\uacfc\uc801\uc778 \uac83\uc73c\ub85c \ub098\ud0c0\ub0ac\uc2b5\ub2c8\ub2e4(9,10). \ub2f9\ub1e8\ubcd1 \ud658\uc790\uc758 \ucc98\ubc29 \uad00\ub9ac\ub97c \uc704\ud55c \uc8fc\uc694 \uc804\ub7b5\uc5d0\ub294 \uc7ac\ud761\uc218\ub97c \ud53c\ud558\uae30 \uc704\ud574 APD\ub97c \uc0ac\uc6a9\ud558\uc5ec \uc9e7\uc740 \uccb4\ub958 \uc2dc\uac04\uacfc \ub192\uc740 \ud22c\uc11d\uc561 \ud3ec\ub3c4\ub2f9 \ub18d\ub3c4\ub97c \uc81c\uacf5\ud558\ub294 \uac83\uc774 \ud3ec\ud568\ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ub610\ud55c, \uc5f0\uad6c\uc5d0 \ub530\ub974\uba74 CAPD\uc640 \ube44\uad50\ud588\uc744 \ub54c APD\uac00 \ub2f9\ub1e8\ubcd1 PD \ud658\uc790\uc758 \ud608\ub2f9 \ubcc0\ub3d9\uc131\uc744 \uc904\uc77c \uc218 \uc788\uc2b5\ub2c8\ub2e4(11,12). <\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">\ucd08\uc5ec\uacfc\ub97c \uc99d\uac00\uc2dc\ud0a4\uae30 \uc704\ud574 \ud22c\uc11d\uc561\uc758 \ud3ec\ub3c4\ub2f9 \ub18d\ub3c4\ub97c \uc99d\uac00\uc2dc\ud0ac \uc218 \uc788\uc9c0\ub9cc, \uc774\ub7ec\ud55c \ud658\uc790\ub4e4\uc5d0\uac8c \ud3ec\ub3c4\ub2f9 \ub178\ucd9c\uc5d0 \ub300\ud55c \uc6b0\ub824\uac00 \uc788\uc73c\ubbc0\ub85c \uc2e0\uc911\ud558\uac8c \uc2dc\ud589\ud574\uc57c \ud569\ub2c8\ub2e4. \uc0bc\ud22c\uc81c\ub85c \uc0ac\uc6a9\ub418\ub294 \ud3ec\ub3c4\ub2f9\uc740 \uace0\ud608\ub2f9, \uace0\uc778\uc290\ub9b0\ud608\uc99d, \ube44\ub9cc\uacfc \uad00\ub828\uc774 \uc788\uc73c\uba70, \ud3ec\ub3c4\ub2f9\uc774 \ube60\ub974\uac8c \ud761\uc218\ub418\uae30 \ub54c\ubb38\uc5d0 \ub2f9\ub1e8\ubcd1 \ud658\uc790\uc5d0\uac8c\ub294 \uc801\uc808\ud558\uc9c0 \uc54a\uc2b5\ub2c8\ub2e4(13). \uc9e7\uc740 \uccb4\ub958\uc2dc\uac04\uc5d0 \ud761\uc218\ub41c \ud3ec\ub3c4\ub2f9 1g\ub2f9 \uc21c \ucd08\uc5ec\uacfc\ub7c9 \ube44\uc728\uc774 CAPD\uc758 \uae34 \uccb4\ub958\uc2dc\uac04\ubcf4\ub2e4 \ub192\ub2e4\ub294 \uc810\uc744 \uc8fc\ubaa9\ud574\uc57c \ud569\ub2c8\ub2e4(14). \ud22c\uc11d\uc561\uc5d0 \ubc18\ubcf5\uc801\uc73c\ub85c \ub178\ucd9c\ub420 \uacbd\uc6b0 \ud3c9\uade0\uc801\uc778 \uc804\uccb4 \ud3ec\ub3c4\ub2f9 \ud761\uc218\ub7c9\uc740 100g-300g\/day\uc785\ub2c8\ub2e4(8). CAPD \uce58\ub8cc\uc5d0\uc11c\uc758 \uce7c\ub85c\ub9ac \uc12d\ucde8\ub7c9\uc740 \ud761\uc218\ub41c \ucd1d \ud3ec\ub3c4\ub2f9 \uc591(60-80%)\uc5d0 3.7(\uadf8\ub7a8\uc744 \uce7c\ub85c\ub9ac\ub85c \ubcc0\ud658\ud558\ub294 \uacc4\uc218)\uc744 \uacf1\ud558\uc5ec \ucd94\uc815\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ubc18\uba74, \uc790\ub3d9\ubcf5\ub9c9\ud22c\uc11d\uc758 \uc9e7\uc740 \uccb4\ub958\uc5d0\uc11c \uce7c\ub85c\ub9ac \uc12d\ucde8\ub7c9\uc740 40-50%\ub85c \ucd94\uc815\ub429\ub2c8\ub2e4(15). \ub530\ub77c\uc11c, \ud22c\uc11d\uc561\uc758 \ud3ec\ub3c4\ub2f9 \ub18d\ub3c4\ub97c \uc870\uc808\ud558\uc5ec \ucd5c\uc801\uc758 \ucd08\uc5ec\uacfc\ub97c \ub2ec\uc131\ud560 \uc218 \uc788\uc73c\uba70, \uc801\uc808\ud55c \uacbd\uc6b0 \uc7a5\uae30 \uccb4\ub958\ub97c \uc704\ud574 \uc544\uc774\ucf54\ub371\uc2a4\ud2b8\ub9b0\uc744 \uace0\ub824\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">\uc544\uc774\ucf54\ub371\uc2a4\ud2b8\ub9b0\uc740 \ud3ec\ub3c4\ub2f9 \ub300\uc0ac \uc791\uc6a9\uc758 \uc601\ud5a5\uc774 \uc5c6\uace0, \ud3ec\ub3c4\ub2f9\ubcf4\ub2e4 \uccb4\ub0b4 \ud761\uc218\uac00 \ub290\ub9ac\uba70, \ubcf5\ub9c9\uc744 \ud1b5\ud55c \ucd08\uc5ec\uacfc\ub97c \uc7a5\uc2dc\uac04 \uc9c0\uc18d\ud558\uc5ec \uccb4\uc561 \uc81c\uac70\ub97c \ud5a5\uc0c1\uc2dc\ud0a4\ub294 \ub300\uccb4 \ubcf5\ub9c9\ud22c\uc11d \uc0bc\ud22c\uc81c\uc785\ub2c8\ub2e4(3,13). \ucc98\ubc29\uc744 \uc870\uc815\ud558\uc5ec \ub0ae \ub3d9\uc548 \uc544\uc774\ucf54\ub371\uc2a4\ud2b8\ub9b0 \uad50\ud658\uc744 \ud3ec\ud568\ud558\uba74 fast transporter\uc5d0\uc11c\ub3c4 \ud6a8\uacfc\uc801\uc73c\ub85c \uc99d\uac00\ub41c \ubcf5\ub9c9 \ud45c\uba74\uc801\uc744 \ud65c\uc6a9\ud558\uc5ec \uc7a5\uae30\uac04\uc758 \uccb4\ub958 \ub3d9\uc548 \uc9c0\uc18d\uc801\uc778 \ucd08\uc5ec\uacfc\ub97c \uc81c\uacf5\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4(16). \ub530\ub77c\uc11c, \uc544\uc774\ucf54\ub371\uc2a4\ud2b8\ub9b0\uc740 \ud608\uccad \uc778\uc290\ub9b0 \uc218\uce58\ub97c \ub0ae\ucd94\uace0, \uc778\uc290\ub9b0 \ubbfc\uac10\ub3c4\ub97c \uac1c\uc120\ud558\uba70, \ub2f9\ub1e8\ubcd1 \ud658\uc790\uc758 \ud608\ub2f9\uc744 \ub354 \uc798 \uc870\uc808\ud560 \uc218 \uc788\uae30 \ub54c\ubb38\uc5d0 \ub2f9\ub1e8\ubcd1 \ud658\uc790\uc5d0\uac8c \uc801\uc808\ud55c \uc0bc\ud22c\uc81c\ub85c \uc81c\uc548\ub418\uc5c8\uc2b5\ub2c8\ub2e4(2, 13). <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:360}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">\uc815\uc0c1\ud608\uc561\ub7c9(euvolemia)\uc740 \ubcf5\ub9c9\ud22c\uc11d(PD) \ud658\uc790\uc5d0\uc11c \uc911\uc694\ud55c \uc801\uc808\uc131 \uc9c0\ud45c\uc785\ub2c8\ub2e4. \ub2f9\ub1e8\ubcd1 \ubcf5\ub9c9\ud22c\uc11d \ud658\uc790\ub294 \ub354 \ube60\ub978 \ubcf5\ub9c9 \uc6a9\uc9c8 \uc218\uc1a1\uc744 \ubcf4\uc774\uba70 \ucd08\uc5ec\uacfc\ub7c9\uc774 \uac10\uc18c\ud558\uc5ec, \uccb4\uc561 \uacfc\ub2e4\uc758 \uc704\ud5d8\uc5d0 \ucc98\ud560 \uc218 \uc788\ub294 \uac83\uc73c\ub85c \ubcf4\uace0\ub418\uc5c8\uc2b5\ub2c8\ub2e4. \ub610\ud55c \ub2f9\ub1e8\ubcd1 \ubcf5\ub9c9\ud22c\uc11d \ud658\uc790\ub294 \uc138\ud3ec\uc678\uc561\ub7c9\uc774 \uc99d\uac00\ud55c \uac83\uc73c\ub85c \uc81c\uc548\ub418\uc5c8\uc2b5\ub2c8\ub2e4. PD \ud658\uc790\uc758 \uccb4\uc561 \uade0\ud615\uc5d0\uc11c \uc911\uc694\ud55c \uce21\uba74\uc740 \ub098\ud2b8\ub968 \uc81c\uac70\uc785\ub2c8\ub2e4. \ub098\ud2b8\ub968 \uc81c\uac70\ub294 \uc8fc\ub85c \ub098\ud2b8\ub968 \uccb4\ud604\uc0c1(sieving)\uacfc \ucd08\uc5ec\uacfc\uc728\uc5d0 \ub2ec\ub824 \uc788\uc2b5\ub2c8\ub2e4. \ub610\ud55c, \ubaa8\ub4e0 \ud22c\uc11d\uc561 \uc720\ud615\uc5d0\uc11c \ub098\ud2b8\ub968 \uc81c\uac70\ub294 \ucd08\uc5ec\uacfc\ub7c9\uacfc \ud070 \uc0c1\uad00\uad00\uacc4\uac00 \uc788\uc2b5\ub2c8\ub2e4. \ud2b9\ud788 \uace0\ub18d\ub3c4\uc758 \ud3ec\ub3c4\ub2f9\uc744 \uc0ac\uc6a9\ud560 \ub54c \ub098\ud2b8\ub968 \uccb4\ud604\uc0c1(sieving)\uc774 \ubc1c\uc0dd\ud569\ub2c8\ub2e4. \uccb4\ub958 \uc8fc\uae30\uac00 \ub108\ubb34 \uc9e7\uc73c\uba74 \uccb4\ud604\uc0c1(sieving)\uc774 \ub098\ud2b8\ub968 \uc81c\uac70\ub97c \ubc29\ud574\ud558\uace0, \ub108\ubb34 \uae38\uba74 \uc7ac\ud761\uc218\uac00 \ubc1c\uc0dd\ud569\ub2c8\ub2e4. \ub530\ub77c\uc11c, PD \ucc98\ubc29\uc744 \ucd08\uc5ec\uacfc\ub7c9\uc774 \ucd5c\uace0\uce58\uc5d0 \ub3c4\ub2ec\ud558\ub294 \uc2dc\uac04\uc5d0 \ucd5c\uc801\ud654\ud558\uba74 \ub098\ud2b8\ub968 \uc81c\uac70\ub3c4 \uadf9\ub300\ud654\ub429\ub2c8\ub2e4. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:0,&quot;335559740&quot;:360}\">\ub610\ud55c, \ub2f9\ub1e8\ubcd1\uc131 \ubcf5\ub9c9\ud22c\uc11d(PD) \ud658\uc790\uc758 \ucc98\ubc29 \uc870\uc815\uc740 \ube48\ubc88\ud55c \ud608\ub2f9 \uce21\uc815\uacfc \ub2f9\ud654\ud608\uc0c9\uc18c(HbA1c)\uc5d0 \uae30\ucd08\ud574\uc57c \ud569\ub2c8\ub2e4. \uac1c\ubcc4 PD \ud658\uc790\uc758 \ud3c9\uac00\ub97c \uae30\ubc18\uc73c\ub85c \uacbd\uad6c \ud608\ub2f9\uac15\ud558\uc81c\uc640 \uc778\uc290\ub9b0\uc758 \ub2e8\uacc4\uc801\uc778 \ucd94\uac00\ub97c \ud3ec\ud568\ud55c \uce58\ub8cc\uc801 \uc870\uce58\ub97c \uace0\ub824\ud558\uc5ec \uace0\ud608\ub2f9\uc99d\uc744 \uad00\ub9ac\ud574\uc57c \ud569\ub2c8\ub2e4. \ubcf5\ub9c9\ud22c\uc11d \ucc98\ubc29 \uc870\uc815 \uc678\uc5d0\ub3c4, \uc2dd\uc774 \uc5fc\ubd84 \ubc0f \uc218\ubd84 \uc81c\ud55c\uacfc \uac19\uc740 \uc2dd\uc774 \uc0c1\ub2f4\uc744 \ud3ec\ud568\uc2dc\ud0a4\ub294 \uac83\uc774 \uace0\uc7a5\uc131 \ud3ec\ub3c4\ub2f9 \uc6a9\uc561\uc758 \uc0ac\uc6a9\uc744 \uc904\uc774\uace0, \uacb0\uacfc\uc801\uc73c\ub85c \ubcf5\ub9c9\ud22c\uc11d\uc744 \ubc1b\ub294 \ub2f9\ub1e8\ubcd1 \ud658\uc790\uc758 \ud608\ub2f9 \uc870\uc808\uc744 \uc6a9\uc774\ud558\uac8c \ud558\ub294 \ub370 \ub3c4\uc6c0\uc774 \ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ub610\ud55c, \uacbd\uad6c \uc601\uc591 \ubcf4\ucda9\uc81c, \ud608\uccad \uc9c0\uc9c8 \uc870\uc808\uc744 \uc704\ud55c \uc800\uc9c0\uc9c8\ud608\uc99d \uc57d\ubb3c, \uadf8\ub9ac\uace0 \ud658\uc790\uc758 \uc601\uc591 \uc0c1\ud0dc\uc5d0 \ub530\ub77c \ub2e8\uc21c \ub2f9\uacfc \ud3ec\ud654 \uc9c0\ubc29\uc758 \uc81c\ud55c\uc5d0 \ub300\ud55c \uad50\uc721\ub3c4 \ud544\uc694\ud569\ub2c8\ub2e4(18,19). PD \uce58\ub8cc \uc2dc\uc791 \ud6c4 ACEIs \uc5b5\uc81c\uc81c \ub610\ub294 ARBs \ucc28\ub2e8\uc81c\uc758 \uc870\uae30 \ud22c\uc5ec\ub97c \ud1b5\ud574 \uc694\ub85c\uc640 \ubcf5\ub9c9 \ub2e8\ubc31\uc9c8 \uc190\uc2e4 \uac10\uc18c \ubc0f \uc794\uc5ec \ucf69\ud325 \uae30\ub2a5 \ubcf4\uc874\ub3c4 \uc911\uc694\ud569\ub2c8\ub2e4. \ub2f9\ub1e8\ubcd1\uc131 \uc2e0\uacbd\ubcd1\uc99d \ud658\uc790\uc5d0\uc11c ACEIs \uc5b5\uc81c\uc81c\ub97c \uc0ac\uc6a9\ud55c \ub2e8\ubc31\ub1e8 \uac10\uc18c\ub294 \uc798 \uc54c\ub824\uc838 \uc788\uc2b5\ub2c8\ub2e4(20,21). \ub354 \ub098\uc740 \ud608\ub2f9 \uc870\uc808\uacfc \uac1c\uc120\ub41c \uc601\uc591 \uc0c1\ud0dc\uc640 \uccb4\uc561 \uade0\ud615\uc740 \uc794\uc5ec \ucf69\ud325 \uae30\ub2a5\uc758 \ubcf4\uc874\uc5d0 \ub3c4\uc6c0\uc774 \ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4. <\/span><\/p>\n<div class=\"vcex-spacing\"><div class=\"vcex-spacing\" style=\"height:30px\"><\/div><\/div>\n<h4><strong>\ucc38\uace0\ubb38\ud5cc<\/strong><\/h4>\n<ol>\n<li><i><span data-contrast=\"auto\">United States Renal Data System. 2016 USRDS Annual Data Report: Epidemiology of Kidney Disease in the United States. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2016.<\/span><\/i><span data-contrast=\"auto\">; 2016.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Yao Q, Lindholm B, Heimb\u00fcrger O. Peritoneal dialysis prescription for diabetic patients.<\/span><i><span data-contrast=\"auto\">Perit Dial Int<\/span><\/i><span data-contrast=\"auto\">. 2005;25 Suppl 3:S76-9. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16048263.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Kuriyama S. Peritoneal dialysis in patients with diabetes: are the benefits greater than the disadvantages?<\/span><i><span data-contrast=\"auto\">Perit Dial Int<\/span><\/i><span data-contrast=\"auto\">. 2007;27 Suppl 2:S190-5. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17556303.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Cotovio P, Rocha A, Rodrigues A. Peritoneal dialysis in diabetics: there is room for more.<\/span><i><span data-contrast=\"auto\">Int J Nephrol<\/span><\/i><span data-contrast=\"auto\">. 2011;2011:914849. Available from: http:\/\/www.pubmedcentral.nih.gov\/articlerender.fcgi?artid=3195540&amp;tool=pmcentrez&amp;rendertype=abstract.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">K\/DOQI Clinical practice guidelines for peritoneal adequacy, update 2006.<\/span><i><span data-contrast=\"auto\">Am J Kidney Dis<\/span><\/i><span data-contrast=\"auto\">. 2006;48 Suppl 1:S91-7. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16813997.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Paniagua R, Amato D, Vonesh E, et al. Effects of increased peritoneal clearances on mortality rates in peritoneal dialysis: ADEMEX, a prospective, randomized, controlled trial.<\/span><i><span data-contrast=\"auto\">J Am Soc Nephrol<\/span><\/i><span data-contrast=\"auto\">. 2002;13(5):1307-1320.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><i><span data-contrast=\"auto\">Hemodialysis Adequacy Peritoneal Dialysis Adequacy Vascular Access A Curriculum for CKD Risk Reduction and Care Kidney Learning System (KLS)<\/span><\/i><i><span data-contrast=\"auto\">TM<\/span><\/i><i><span data-contrast=\"auto\">2006 Updates Clinical Practice Guidelines and Recommendations<\/span><\/i><span data-contrast=\"auto\">. Available from: www.kidney.org.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Danielski M, Ikizler TA, McMonagle E, et al. Linkage of hypoalbuminemia, inflammation, and oxidative stress in patients receiving maintenance hemodialysis therapy.<\/span><i><span data-contrast=\"auto\">Am J kidney Dis<\/span><\/i><span data-contrast=\"auto\">. 2003;42(2):286-294.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Lambie M, Chess J, Donovan KL, et al. Independent effects of systemic and peritoneal inflammation on peritoneal dialysis\u00a0 survival.<\/span><i><span data-contrast=\"auto\">J Am Soc Nephrol<\/span><\/i><span data-contrast=\"auto\">. 2013;24(12):2071-2080.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Brimble KS, Walker M, Margetts PJ, Kundhal KK, Rabbat CG. Meta-analysis: peritoneal membrane transport, mortality, and technique failure in peritoneal dialysis.<\/span><i><span data-contrast=\"auto\">J Am Soc Nephrol<\/span><\/i><span data-contrast=\"auto\">. 2006;17(9):2591-2598. 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Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20110918.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Okada E, Oishi D, Sakurada T, Yasuda T, Shibagaki Y. A Comparison Study of Glucose Fluctuation During Automated Peritoneal Dialysis and\u00a0 Continuous Ambulatory Peritoneal Dialysis.<\/span><i><span data-contrast=\"auto\">Adv Perit Dial<\/span><\/i><span data-contrast=\"auto\">. 2015;31:34-37.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Paniagua R, Ventura M-J, Avila-D\u00edaz M, et al. Icodextrin improves metabolic and fluid management in high and high-average transport diabetic patients.<\/span><i><span data-contrast=\"auto\">Perit Dial Int<\/span><\/i><span data-contrast=\"auto\">. 2009;29(4):422-432. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19602608.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Twardowski ZJ, Nolph KD, Khanna R, Gluck Z, Prowant BF, Ryan LP. Daily clearances with continuous ambulatory peritoneal dialysis and nightly peritoneal dialysis.<\/span><i><span data-contrast=\"auto\">ASAIO Trans<\/span><\/i><span data-contrast=\"auto\">. 1990;32(1):575-580. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/3778773.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Heimb\u00fcrger O, Waniewski J, Werynski A, Lindholm B. A quantitative description of solute and fluid transport during peritoneal dialysis.<\/span><i><span data-contrast=\"auto\">Kidney Int<\/span><\/i><span data-contrast=\"auto\">. 1992;41(5):1320-1332. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/1614047.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">van Biesen W, Heimburger O, Krediet R, et al. Evaluation of peritoneal membrane characteristics: clinical advice for prescription management by the ERBP working group.<\/span><i><span data-contrast=\"auto\">Nephrol Dial Transplant<\/span><\/i><span data-contrast=\"auto\">. 2010;25(7):2052-2062. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20203287.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Davenport A, Willicombe MK. Does Diabetes Mellitus Predispose to Increased Fluid Overload in Peritoneal Dialysis Patients?<\/span><i><span data-contrast=\"auto\">Nephron Clin Pract<\/span><\/i><span data-contrast=\"auto\">. 2010;114(1):c60-c66. Available from: https:\/\/www.karger.com\/DOI\/10.1159\/000245070.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Rocco M V, Ikizler TA. Nutrition. In: Daugirdas JT, Blake PG, Ing TS, eds.<\/span><i><span data-contrast=\"auto\">Handbook of Dialysis<\/span><\/i><span data-contrast=\"auto\">. 4th ed. Lippincott Williams &amp; Wilkins; 2015:535-554.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Tzamaloukas AH, Friedman EA. Diabetes. In: Daugirdas J, Blake PG, Ing T, eds.<\/span><i><span data-contrast=\"auto\">Handbook of Dialysis<\/span><\/i><span data-contrast=\"auto\">. 4th ed. Lippincott Williams &amp; Wilkins; 2007:490-507.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Viberti G, Mogensen CE, Groop LC, Pauls JF. Effect of captopril on progression to clinical proteinuria in patients with\u00a0 insulin-dependent diabetes mellitus and microalbuminuria. European Microalbuminuria Captopril Study Group.<\/span><i><span data-contrast=\"auto\">JAMA<\/span><\/i><span data-contrast=\"auto\">. 1994;271(4):275-279.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Weidmann P, Boehlen LM CM et al. Effects of different antihypertensive drugs on human diabetic proteinuria.<\/span><i><span data-contrast=\"auto\">Nephrol Dial Transpl<\/span><\/i><span data-contrast=\"auto\">. 1993;8(5824).<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:640,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:360,&quot;335559991&quot;:640}\">\u00a0<\/span><\/li>\n<\/ol>\n<p><span data-contrast=\"auto\">P\/N 102539-01 Rev<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">A<\/span><span data-contrast=\"auto\">\u00a00<\/span><span data-contrast=\"auto\">3<\/span><span data-contrast=\"auto\">\/20<\/span><span data-contrast=\"auto\">20<\/span><span data-ccp-props=\"{&quot;201341983&quot;:2,&quot;335559685&quot;:360,&quot;335559739&quot;:240,&quot;335559740&quot;:240,&quot;335559991&quot;:360}\">\u00a0<\/span><\/p>\n<div class=\"vcex-spacing\" style=\"height:30px\"><\/div>\n","protected":false},"featured_media":0,"template":"","format":"standard","meta":{"_acf_changed":false},"categories":[128],"tags":[266],"language":[195],"articles":[232],"class_list":["post-8716","article","type-article","status-publish","format-standard","hentry","category-articles","tag-diabetes-manage-kn","language-korean","articles-peritoneal-dialysis","entry","no-media"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - 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