臨牀透析 Vol.21 No.2(1)


特集名 血液浄化療法の新しいmodality
題名 透析時間の現況
発刊年月 2005年 02月
著者 中井 滋 日本透析医学会統計調査委員会/名古屋大学医学部附属病院在宅管理医療部
【 要旨 】 2002年末の週3回施設血液透析患者 (160,624人) の透析時間の平均は3.97±0.62 (±S.D.) 時間である.1991年以降,施設血液透析患者の透析時間は年々短くなっている.患者数は少ないが,在宅血液透析患者の透析時間は施設血液透析患者よりも0.5時間以上長い.週3回の施設血液透析患者では,月水金クールで透析時間が長く,週初めの透析時間は2回目,3回目に比べて長い.また,透析時間が4時間未満の患者で死亡のリスクが高い.
Theme New Modalities in Blood Purification Therapies
Title Dialysis time : a statistical update
Author Shigeru Nakai Japanese Society for Dialysis Therapy / Department of In-home Medicine, Nagoya University Hospital
[ Summary ] As of the end of 2002, the average dialysis time for the 160,624 hemodialysis patients undergoing dialysis at treatment facilities three times a week was 3.97±0.62 (±S.D.) hours. Since 1991, the dialysis time for hemodialysis patients at such facilities has heen gradually shortened. Although home dialysis patients are admittedly fewer in number, their dialysis time was found to be 0.5 hours longer than for their counterparts undergoing dialysis at treatment centers. Dialysis time was longer for hemodialysis patients undergoing Monday-Wednesday-Friday treatment at centers ; moreover, their first and second dialysis weekly treatments were longer than the third. The mortality risk is high for hemodialysis patients receiving treatment three times a week at treatment facilities whose dialysis time is less than four hours per session.
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