臨牀透析 Vol.34 No.13(4)


特集名 腹膜透析患者のキュア&ケアのレベルアップ
題名 透析液交換のデバイスシステム
発刊年月 2018年 12月
著者 濱田 千江子 順天堂大学腎臓内科
【 要旨 】 腹膜透析(PD)は,透析液を患者自身が交換し,一連の透析療法を自己管理する在宅透析療法である.紫外線(UV)や熱性加圧滅菌機器での交換は,手動での交換が困難な患者に対して開発された.その後,導入患者の高齢化に伴い高齢者に優しいPD療法の流れのなか,交換デバイスはよりユーザビリティの高い機器へと発展している.本邦ほど機器交換が浸透した国はなく,本邦からの腹膜炎の発症低減効果の確認が望まれる.今後さらに,支援を利用する高齢PD患者の増加が予想されるなか,機器が交換のみならず管理と連動した「より患者・支援者にやさしいPD療法」への発展が期待される.
Theme Outcomes of peritoneal dialysis treatment during the past half-century
Title Dialysate exchanging device
Author Chieko Hamada Division of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine
[ Summary ] Peritoneal dialysis (PD) is a home dialysis therapy in which the patient self-manages dialysis therapy including dialysis solution exchange. Dialysate exchanges using ultraviolet or thermally autoclaved sterilization equipment were developed for patients for whom manual exchanges are difficult. As the age of patients starting dialysis increases, exchange devices have evolved to meet the need for elderly-friendly PD therapy. Device exchange equipment has gained particular popularity in Japan, and the reduction effect of such devices in peritonitis in Japan should be examined. Since further increases in the number of elderly PD patients using support are expected in the future, we believe that future devices will be developed that will allow dialysate exchange as well as provide patient-friendly PD management.
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