老年人在血液透析與腹膜透析之比較

Difference Between Hemodialysis and Peritoneal Dialysis in the Elderly

林冠霖(Guan-Lin Lin) ； 方昱偉(Yu-Wei Fang) ； 張宗興(Chung-Hsin Chang)

《腎臟與透析》 33卷4期 (2021/12) Pp. 164-167

https://doi.org/10.6340/KD.202112_33(4).0002

摘要

高齡的末期腎臟病患者在透析方式選擇上面臨了挑戰。腹膜透析具有生理溫和的優點，並能夠在家中進行。然而，其學習和執行日常醫療技術的要求仍是此族群的障礙，超過60%的80歲以上病人可能需要協助。對於血液透析，自我照護的需求較低且更方便，但在治療和往返透析單位的運輸上花費的時間可能會導致顯著的成本。此外，老年人在血液透析過程中也可能會非常疲勞，在血管通路的建立或許也相對困難。在這篇文章中，徹底討論了兩種透析方式之間的利弊。

關鍵字

腹膜透析 ； 血液透析 ； 老年人

並列摘要

Choice of dialysis modality in the elderly with end-stage renal disease is a challenge to face. Peritoneal dialysis has the advantage of being physiologically gentle and can be performed at home. However, its requirement of learning and performing daily medical techniques remains a barrier to this patient group. More than 60% of patients over 80 years of age may need assistance. As for hemodialysis, such requirement is low and more convenient but the time spent in treatment and transportation to and from the dialysis units may incur significant costs. Besides, the elderly may also be very tired during the hemodialysis process, and the development of vascular access may be relatively difficult. In this review, the benefits and disadvantages of the two dialysis modalities are thoroughly discussed.

並列關鍵字

peritoneal dialysis ； hemodialysis ； elderly