臨牀透析 Vol.23 No.10(1-3)


特集名 適正透析 -- エビデンスをめぐる課題
題名 適正血液透析とエビデンス (3) 透析液清浄化
発刊年月 2007年 09月
著者 政金 生人 矢吹病院
【 要旨 】 透析液清浄化の臨床効果について,汚染度と清浄化した際の臨床効果を直接的に証明したエビデンスレベルの高い報告は少ない.しかし多くの報告は,透析液清浄化は微弱炎症を抑えるという点で一致し,透析アミロイド症やMIA症候群などの遠隔期合併症のリスクを低減させることは確固としたコンセンサスになった.適正透析とは,患者にとって苦痛がなく,QOLの高い日常生活と長期生存を可能にする透析方法であり,そのためには透析液清浄化は必須である.
Theme Issues of Evidence-based Adequate Dialysis Therapy
Title Ultra-pure dialysis fluids : Primary factor in dialysis therapy
Author Ikuto Masakane Kidney and Dialysis Center, Yabuki Hospital
[ Summary ] There have been many reports suggesting the clinical significance of ultra-pure dialysis fluids in avoiding various dialysis related complications, such as dialysis related amyloidosis or MIA syndrome. Even though little conclusive evidence has been presented the usefulness of ultra-pure dialysis fluids has become widely accepted. The quality of dialysis therapy is not always determined by dialysis dosage. This therapy enables us to help CKD patients live longer and have higher quality of life. Ultra-pure dialysis fluids are one of the most essential factors influencing the quality of dialysis therapy.
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