淺談糖尿病腎病變與末期腎臟疾病

An Overview of Diabetic Nephropathy and End-Stage Renal Disease

林于立(Yu-Li Lin) ； 徐邦治(Bang-Gee Hsu)

《腎臟與透析》 28卷2期 (2016/06) Pp. 53-57

https://doi.org/10.6340/KD.2016.28(2).01

摘要

糖尿病腎病變是許多已開發及開發中國家末期腎臟疾病最主要的原因。近年來，在台灣新發生的透析個案中，有糖尿病的人數逐年增加。與非糖尿病的透析患者相較，糖尿病透析患者的長期存活率較低，其中心血管疾病的死因占了一半。與血液及腹膜透析相較，糖尿病透析患者接受腎臟移植的長期存活率明顯較佳。在糖尿病患透析模式的選擇上，由於血液透析與腹膜透析兩者並無顯著的存活差異，因此合適於每一位患者的透析模式應個人化加以評估。

關鍵字

糖尿病腎病變 ； 末期腎臟疾病 ； 腎臟替代療法 ； 腎臟移植

並列摘要

Diabetic nephropathy is the most common cause of end-stage renal disease (ESRD) in developed and developing countries. In Taiwan, diabetes mellitus is still increasing as the leading cause of ESRD. Patient survival in diabetics on maintenance dialysis is much lower than that in nondiabetics with ESRD and cardiovascular disease accounted for more than one-half of death. Compared with hemodialysis (HD) and peritoneal dialysis (PD), renal transplantation is associated with increased patient’s long-term survival. For the survival comparison between PD and HD in diabetic patients, most studies have not found a survival difference and the choice of a dialysis modality should be individualized.

並列關鍵字

diabetic nephropathy ； end-stage renal disease ； renal replacement therapy ； renal transplantation