臨牀透析 Vol.13 No.6(2-4)


特集名 世界の透析事情
題名 外国の透析事情 (4) 中国
発刊年月 1997年 06月
著者 細田 雅人 キリンビール株式会社医薬事業部研究開発部
著者 下坂 皓洋 キリンビール株式会社医薬事業部研究開発部
【 要旨 】 中国の医療は,経済発展に歩調を合わせ,飛躍的な発展を遂げている.本稿では,中国の透析事情について,その歴史,透析患者の推移と現状,透析施設・設備の整備状況,治療成績を紹介し,今後の課題についても述べる.現在は旅行者も透析を受けることが可能であり,透析機器,周辺の薬剤も輸入品が主に使用されているが,日本と同様の透析治療が期待できる.また,日本の技術援助により透析療法を導入した病院もあり,米国式と異なる日本式の透析を実施している.
Theme World Wide Current Trend of Dialysis Therapy
Title Dialysis situation in foreign countries -- People's Republic of China
Author Masato Hosoda Research and Product Development Department, Pharmaceutical Division, Kirin Brewery Co., Ltd., Tokyo, Japan
Author Akihiro Shimosaka Research and Product Development Department, Pharmaceutical Division, Kirin Brewery Co., Ltd., Tokyo, Japan
[ Summary ] Hemodialysis was introduced in China in the 1980s. Hospitals with a hemodialysis unit started its cases for acute cases and then a center for chronic hemodialysis patients was opened in the late 1980s, with expansion of the economy. This report introduces the history, the present status and the future trends of hemodialysis in China. The bottle neck for the development of hemodialysis is medical economics, needed to support the facilities and the costs of dialysis. Introduction of Erythropoietin has contributed to the QOL of chronic renal failure patients although the cost of EPO treatment is not adequately covered by insurance.
China still needs some support from other countries to make hemodialysis available for every renal failure patient and is able to develop necessary technology, equipment and medical insurance system much shorter than any other countries.
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