{"id":8718,"date":"2025-10-29T12:24:07","date_gmt":"2025-10-29T17:24:07","guid":{"rendered":"https:\/\/ami.advancedrenaleducation.com\/wparep\/asiapacific\/?post_type=article&p=8718"},"modified":"2025-10-29T12:24:07","modified_gmt":"2025-10-29T17:24:07","slug":"%eb%8b%b9%eb%87%a8%eb%b3%91-%ed%99%98%ec%9e%90%ec%97%90%ec%84%9c-pd%eb%a5%bc-%ec%8b%9c%ec%9e%91%ed%95%b4%ec%95%bc-%ed%95%98%eb%8a%94-%ec%8b%9c%ea%b8%b0","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%ec%97%90%ec%84%9c-pd%eb%a5%bc-%ec%8b%9c%ec%9e%91%ed%95%b4%ec%95%bc-%ed%95%98%eb%8a%94-%ec%8b%9c%ea%b8%b0\/","title":{"rendered":"\ub2f9\ub1e8\ubcd1 \ud658\uc790\uc5d0\uc11c PD\ub97c \uc2dc\uc791\ud574\uc57c \ud558\ub294 \uc2dc\uae30"},"content":{"rendered":"

\uac00\uc7a5 \ucd5c\uadfc\uc758 KDOQI \uc9c0\uce68\uc740 \ub2f9\ub1e8\ubcd1 \ud658\uc790\uc640 \ube44\ub2f9\ub1e8\ubcd1 \ud658\uc790 \uc0ac\uc774\uc5d0\uc11c \uc2e0\ub300\uccb4 \uc694\ubc95\uc758 \uc2dc\uc791 \uc2dc\uae30\uc5d0 \ucc28\uc774\ub97c \ub450\uc9c0 \uc54a\uc2b5\ub2c8\ub2e4(1). \uc9c0\uce68\uc5d0 \ub530\ub974\uba74 \ud658\uc790\uac00 5\ub2e8\uacc4 \ub9cc\uc131\ucf69\ud325\ubcd1(CKD) \ub2e8\uacc4\uc5d0 \ub3c4\ub2ec\ud588\uc744 \ub54c(eGFR <15 mL\/min\/1.73 m\u00b2), \uc2e0\uc7a5 \uc804\ubb38\uc758\ub294 \ucf69\ud325 \ub300\uccb4 \uc694\ubc95(KRT) \uc2dc\uc791\uc758 \uc774\uc810, \uc704\ud5d8 \ubc0f \ub2e8\uc810\uc744 \ud3c9\uac00\ud574\uc57c \ud569\ub2c8\ub2e4. \ud2b9\uc815 \uc784\uc0c1 \uace0\ub824\uc0ac\ud56d \ubc0f \ucf69\ud325\ubcd1\uc758 \ud2b9\uc815 \ud569\ubcd1\uc99d\uc740 5\ub2e8\uacc4 \uc774\uc804\uc5d0 \ucf69\ud325 \ub300\uccb4 \uc694\ubc95\uc744 \uc2dc\uc791\ud558\ub3c4\ub85d \ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc774 \uc9c0\uce68\uc740 \uc804\ubc18\uc801\uc778 \uc2e0\uc7a5 \uae30\ub2a5\uc774 GFR\uacfc \uc0c1\uad00\uad00\uacc4\uac00 \uc788\ub2e4\ub294 \uac00\uc815\uc5d0 \uae30\ubc18\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4. \uadf8\ub7ec\ub098 \ucf69\ud325\uc740 \ub9ce\uc740 \uae30\ub2a5\uc744 \uac00\uc9c0\uace0 \uc788\uc5b4, \ud2b9\uc815 \uae30\ub2a5\uc774 GFR \uac10\uc18c\uc5d0 \ube44\ub840\ud558\uc9c0 \uc54a\uac8c \uac10\uc18c\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ub530\ub77c\uc11c \uc758\ub8cc \uc81c\uacf5\uc790\ub294 \ucf69\ud325 \uae30\ub2a5 \uc0c1\uc2e4\ub85c \uc778\ud574 \uc9c1\uc811\uc801 \ub610\ub294 \uac04\uc811\uc801\uc73c\ub85c \ubc1c\uc0dd\ud560 \uc218 \uc788\ub294 \uc694\ub3c5\uc99d\uacfc \uac19\uc740 \uac74\uac15 \uc545\ud654\uc758 \uc9d5\ud6c4\uc5d0 \uc8fc\uc758\ub97c \uae30\uc6b8\uc774\uace0, \uadf8\ub7ec\ud55c \ud658\uc790\uc5d0\uac8c\ub294 \ucf69\ud325 \ub300\uccb4 \uc694\ubc95\uc744 \ub354 \uc77c\ucc0d \uc2dc\uc791\ud574\uc57c \ud569\ub2c8\ub2e4.<\/p>\n

\ucd08\uae30 \uac1c\uc785\uc774 \ud544\uc694\ud55c \uba87 \uac00\uc9c0 \uc774\uc720\ub294 \ub2f9\ub1e8\ubcd1 \ud658\uc790\uc758 \ub9cc\uc131 \ucf69\ud325\ubcd1 \ub9d0\uae30\uc5d0\uc11c \uc794\uc5ec \ucf69\ud325 \uae30\ub2a5\uc758 \ube60\ub978 \uc0c1\uc2e4, \uc704\ub9c8\ube44, \uc790\uc728\uc2e0\uacbd\ubcd1\uc99d \ubc0f \uccb4\uc561 \uacfc\ubd80\ud558(\uc2e0\uc99d, \uc2ec\ubd80\uc804)\ub85c \uc778\ud55c \uc694\ub3c5 \uc99d\uc0c1\uc758 \uc870\uae30\/\uc545\ud654, \uadf8\ub9ac\uace0 \uc601\uc591 \uc0c1\ud0dc\ub97c \uac1c\uc120\ud558\ub824\ub294 \uc2dc\ub3c4 \ub54c\ubb38\uc785\ub2c8\ub2e4(2). Yao \ub4f1\uc740 ESRD\ub97c \uc553\uace0 \uc788\ub294 \ub2f9\ub1e8\ubcd1 \ud658\uc790\uc758 \uce58\ub8cc\uc5d0 \ub300\ud55c \ud1b5\ud569 \uc811\uadfc\ubc95\uc744 \uc81c\uc548\ud588\uc73c\uba70, \uc774\ub294 \ud45c 1\uc5d0 \uc694\uc57d\ub418\uc5b4 \uc788\uc2b5\ub2c8\ub2e4(3).<\/p>\n

\uacb0\ub860\uc801\uc73c\ub85c, \ud22c\uc11d \uce58\ub8cc\uc758 \uc2dc\uc791\uc740 \uc784\uc0c1 \uacbd\ud5d8\uc5d0 \uae30\ubc18\ud55c \uc784\uc0c1\uc801 \ud310\ub2e8\uc5d0 \ub530\ub77c \uc774\ub8e8\uc5b4\uc838\uc57c \ud558\uba70, \uaddc\uc81c\uc640 \ubcf4\ud5d8 \uccad\uad6c\uc758 \uc81c\uc57d\uc744 \uace0\ub824\ud574\uc57c \ud569\ub2c8\ub2e4. \ud22c\uc11d \uce58\ub8cc \uc2dc\uc791\uc758 \uad8c\uc7a5 \uc2dc\uc810\uc740 \ud22c\uc11d\uc744 \ud558\uc9c0 \uc54a\ub294 \uae30\uac04\uc744 \ucd5c\ub300\ud55c \uc5f0\uc7a5\ud558\uba74\uc11c, \ud22c\uc11d\uc73c\ub85c \uc778\ud55c \uc0b6\uc758 \uae38\uc774\uc640 \uc9c8\uc744 \uac10\uc18c\uc2dc\ud0a4\ub294 \ud569\ubcd1\uc99d\uc744 \ud53c\ud568\uc73c\ub85c\uc368 \ud658\uc790\uc758 \uc0b6\uc758 \uc9c8\uc744 \uadf9\ub300\ud654\ud558\ub3c4\ub85d \uc124\uacc4\ub418\uc5b4\uc57c \ud569\ub2c8\ub2e4.<\/p>\n

Table 1: ESRD\ub97c \uac00\uc9c4 \ub2f9\ub1e8\ubcd1 \ud658\uc790\uc758 \ud1b5\ud569\uc801 \uad00\ub9ac \uc811\uadfc\ubc95 (\ucc38\uace0\ubb38\ud5cc3 \uc778\uc6a9).<\/h6>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\ubb38\uc81c\uc810<\/strong><\/td>\n\uac00\ub2a5\ud55c \ucc98\ubc29<\/strong><\/td>\n<\/tr>\n
\uacfc\uc218\ubd84(Overhydration), \ubd88\ucda9\ubd84\ud55c \ucd08\uc5ec\uacfc(poor UF)<\/td>\nAPD(\uc790\ub3d9\ubcf5\ub9c9\ud22c\uc11d) \ub610\ub294 PD Plus<\/td>\n<\/tr>\n
\ub0ae\uc740 \uc18c\ubd84\uc790 \uccad\uc18c\uc728(Low small solute clearance)<\/td>\n\uc794\uc5ec \ucf69\ud325 \uae30\ub2a5 \ubcf4\uc874, CAPD \ucd1d \ud22c\uc11d\ub7c9 \uc99d\uac00, \uccb4\ub958\ub7c9 \uc99d\uac00, APD(\uc790\ub3d9\ubcf5\ub9c9\ud22c\uc11d) \ub85c \uad50\uccb4<\/td>\n<\/tr>\n
\ubd80\uc871\ud55c \uce7c\uc298\uacfc \uc778 \uc870\uc808(Poor calcium phosphate control), \uc800\ud56d\uc131\uce7c\uc298\ud615\uc131(calciphylaxis)<\/td>\n\uc800\uce7c\uc298 \ubcf5\ub9c9\ud22c\uc11d\uc561\uc744 \uc0ac\uc6a9\ud558\uc5ec \uce7c\uc298 \uae30\ubc18 \uc778 \uacb0\ud569\uc81c\uc640 \ube44\ud0c0\ubbfc D \uc720\uc0ac\uccb4\ub97c \uc0ac\uc6a9\ud560 \uc218 \uc788\uac8c \ud568, \uc0c8\ub85c \uac1c\uc120\ub41c \uc778 \uacb0\ud569\uc81c \uc0ac\uc6a9, \ube44\ud0c0\ubbfc K \uae38\ud56d\uc81c\ub97c \ud53c\ud568(\uc800\ud56d\uc131\uce7c\uc298\ud615\uc131\uc5d0 \uae30\uc5ec\ud560 \uc218 \uc788\uc74c).<\/td>\n<\/tr>\n
\uace0\ud608\ub2f9(hyperglycemia)<\/td>\n\uc778\uc290\ub9b0 \ucc98\ubc29 \uc218\uc815, \ubcf5\uac15\ub0b4(IP) \uc778\uc290\ub9b0 \uce58\ub8cc\ub85c \ubcc0\uacbd, \ubcf5\ub9c9\ud22c\uc11d\uc561\uc758 \ud3ec\ub3c4\ub2f9 \uac10\uc18c<\/td>\n<\/tr>\n
\uad00\uc0c1\uc2ec\uc7a5\ubcd1(coronary heart disease)<\/td>\nACE \uc5b5\uc81c\uc81c, \uc548\uc9c0\uc624\ud150\uc2e0 II \uc218\uc6a9\uccb4 \uae38\ud56d\uc81c, \ubca0\ud0c0 \ucc28\ub2e8\uc81c, \uc2a4\ud0c0\ud2f4, PPAR-\u03b3 \uc791\uc6a9\uc81c \uc0ac\uc6a9 \ub4f1<\/td>\n<\/tr>\n
\uc6b8\ud608\uc2ec\ubd80\uc804(CHF)<\/td>\nPTCA(\uacbd\ud53c\uc801 \uad00\uc0c1\ub3d9\ub9e5 \ud655\uc7a5\uc220) \uc2a4\ud150\ud2b8 \uc2dc\uc220, \uad00\uc0c1\ub3d9\ub9e5 \uc6b0\ud68c\uc220(CABG), \uccb4\uc561 \uade0\ud615 \uac1c\uc120, ACE \uc5b5\uc81c\uc81c, \uc548\uc9c0\uc624\ud150\uc2e0 II \uc218\uc6a9\uccb4 \uae38\ud56d\uc81c, \ubca0\ud0c0 \ucc28\ub2e8\uc81c, PD\ubcf4\ub2e4\ub294 HD?<\/td>\n<\/tr>\n
\ubc1c \ubb38\uc81c(foot problems)<\/td>\n\uc801\uc808\ud55c \uc2e0\ubc1c, \ubc1c \uad00\ub9ac, \uc871\ubd80 \uc804\ubb38\uc758 \uc0c1\ub2f4, \ud658\uc790 \uad50\uc721, \ub9d0\ucd08 \ud608\uad00 \uc9c8\ud658 \uad00\ub9ac<\/td>\n<\/tr>\n
\uc704\ub9c8\ube44(gastroparesis)<\/td>\n\ud608\ub2f9 \uc870\uc808 \uac1c\uc120, PD \uc8fc\uc785\ub7c9 \uac10\uc18c<\/td>\n<\/tr>\n
\ub9dd\ub9c9\ubcd1\uc99d(retinopathy)<\/td>\n\ud608\ub2f9 \uc870\uc808, \ud608\uc555 \uad00\ub9ac, \uc548\uacfc \uc804\ubb38\uc758\uc758 \uc815\uae30 \uac80\uc0ac \ubc0f \uce58\ub8cc<\/td>\n<\/tr>\n
\uc5fc\uc99d(inflammation)<\/td>\n\uc5fc\uc99d\uc758 \uc6d0\uc778 \ud0d0\uc0c9, \uc2a4\ud0c0\ud2f4\uc81c\uc81c \ud3ec\ud568 \ud56d\uc5fc\uc99d\uce58\ub8cc\uc81c, ACE \uc5b5\uc81c\uc81c, PPAR-\u03b3 \uc791\uc6a9\uc81c \uc0ac\uc6a9<\/td>\n<\/tr>\n
\ubcf5\ub9c9\uc5fc(peritonitis)<\/td>\n\uc0c8\ub86d\uace0 \ub354 \uc0dd\uccb4\uc801\ud569\ud55c \ubcf5\ub9c9\ud22c\uc11d\uc561 \uc0ac\uc6a9(?), \uc2dc\uac01 \uc7a5\uc560\uc778\uc744 \ub3d5\uae30 \uc704\ud55c ‘\ucd09\uac01 \uae30\uc220(touch technique)’ \uc7a5\uce58 \ub610\ub294 \ub3c4\uc6b0\ubbf8<\/td>\n<\/tr>\n
\ub2e4\ub978 \ub3d9\ubc18\uc9c8\ud658(Other comorbidity)<\/td>\n\ud658\uc790 \ub2f9 \uc758\uc0ac\uc758 \uc9c4\ub8cc \uc2dc\uac04\uc744 \ub298\ub9bc<\/td>\n<\/tr>\n
ACE=angiotensin-converting enzyme; AII=angiotensin II; PPAR-\u03b3=peroxisome proliterator activated receptor-gamma; PTCA=percutaneous transluminal coronary angioplasty<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

\ucc38\uace0\ubb38\ud5cc<\/strong><\/h4>\n
    \n
  1. KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for 2006 Updates: Hemodialysis Adequacy, Peritoneal Dialysis Adequacy and Vascular Access. Am J Kidney Dis 48:S1-S322, 2006 (suppl 1).<\/li>\n
  2. KDOQI: Clinical Practice Guidelines for Peritoneal Dialysis Adequacy. Am J Kidney Dis 1997;30:S67-S136.<\/li>\n
  3. Yao Q, Lindholm B, Heimburger O. Peritoneal dialysis prescription for diabetic patients.\u00a0Perit Dial Int. 2005 Feb;25 Suppl 3:S76-9.\u00a0https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16048263<\/li>\n<\/ol>\n

     <\/p>\n

    P\/N 101808-01 Rev A 06\/2012<\/p>\n

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