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\u3000<\/p>\n\n\n\n
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\u57fa\u672c\u7684\u306a\u6d41\u308c\u306fHD\u3068\u4f3c\u3066\u3044\u307e\u3059\u304c\u3001HDF\u3067\u306f\u3001\u30d5\u30a3\u30eb\u30bf\u30fc\u3067\u8840\u6db2\u3092\u308d\u904e\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u6e05\u6f54\u306a\u88dc\u6db2\u3092\u7528\u3044\u3066\u3001\u3088\u308a\u591a\u304f\u306e\u8001\u5ec3\u7269\u3092\u52b9\u7387\u7684\u306b\u53d6\u308a\u9664\u304f\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n \u7279\u306b\u3001HD\u3067\u306f\u53d6\u308a\u9664\u304d\u306b\u304f\u3044\u4e2d\u304f\u3089\u3044\u306e\u30b5\u30a4\u30ba\u306e\u8001\u5ec3\u7269<\/strong>\u306b\u5bfe\u3057\u3066\u3001HDF\u306f\u975e\u5e38\u306b\u52b9\u679c\u7684\u3067\u3059\u3002<\/p>\n\n\n\n \u3000<\/p>\n\n\n\n \u6b21\u306b\u3001\u4e21\u8005\u306e\u4e3b\u306a\u9055\u3044\u306b\u3064\u3044\u3066\u3067\u3059\u304c\u3001 <\/p>\n\n\n\n – HD<\/strong>\u306f\u4e3b\u306b\u5c0f\u3055\u306a\u8001\u5ec3\u7269\u3092\u30d5\u30a3\u30eb\u30bf\u30fc\u3067\u9664\u53bb\u3057\u307e\u3059\u3002 <\/p>\n\n\n\n – HDF<\/strong>\u306f\u3001\u3088\u308a\u591a\u304f\u306e\u8001\u5ec3\u7269\u3092\u53d6\u308a\u9664\u304f\u305f\u3081\u306b\u300c\u5bfe\u6d41\u300d\u3068\u3044\u3046\u30e1\u30ab\u30cb\u30ba\u30e0\u3092\u5229\u7528\u3057\u3001\u4f53\u5185\u3092\u3088\u308a\u5fb9\u5e95\u7684\u306b\u6d17\u6d44\u3057\u307e\u3059\u3002<\/p>\n\n\n\n \u3000<\/p>\n\n\n\n \u8981\u3059\u308b\u306b\u3001HDF\u306f\u300c\u3088\u308a\u5f37\u529b\u306a\u6d17\u6d44\u300d\u3092\u884c\u3046\u65b9\u6cd5\u3067\u3042\u308a\u3001HD\u306b\u6bd4\u3079\u3066\u5e83\u7bc4\u56f2\u306e\u8001\u5ec3\u7269\u3092\u53d6\u308a\u9664\u304f\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n \u3067\u306f\u3001HDF\u306e\u65b9\u304c\u826f\u3044\u306e\u304b\uff1f<\/p>\n\n\n\n \u4e00\u898b\u305d\u306e\u3088\u3046\u306b\u601d\u3048\u307e\u3059\u304c\u3001\u5b9f\u969b\u306b\u306f\u3069\u3061\u3089\u304c\u60a3\u8005\u306b\u3068\u3063\u3066\u3088\u308a\u6709\u76ca\u304b\u306f\u3001\u3053\u308c\u307e\u3067\u660e\u78ba\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n \u3000<\/p>\n\n\n\n \u3057\u304b\u3057\u3001\u6700\u8fd1\u306e\u7814\u7a76<\/strong>\u3067\u3001\u305d\u306e\u9055\u3044\u304c\u306f\u3063\u304d\u308a\u3068\u3057\u3066\u304d\u307e\u3057\u305f\u3002 <\/p>\n\n\n\n \u3053\u306e\u7814\u7a76\u3067\u306f\u3001\u672b\u671f\u814e\u4e0d\u5168\uff08ESKD\uff09\u306e\u60a3\u80054,143\u4eba\u3092\u5bfe\u8c61\u306b\u3001HDF\u3068HD\u306e\u52b9\u679c\u3092\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\u8a66\u9a13\uff08RCT\uff09\u3092\u901a\u3057\u3066\u6bd4\u8f03\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n \u305d\u306e\u7d50\u679c\u3001HDF\u3092\u53d7\u3051\u305f\u60a3\u8005\u306f\u3001\u5168\u4f53\u306e\u6b7b\u4ea1\u7387<\/strong>\u304c20%\u3082\u4f4e\u304b\u3063\u305f\u306e\u3067\u3059\uff08\u30ea\u30b9\u30af\u6bd4[RR] 0.81\uff09\u3002<\/p>\n\n\n\n \u3000<\/p>\n\n\n\n \u3055\u3089\u306b\u3001\u5fc3\u8840\u7ba1\u75be\u60a3\u306b\u3088\u308b\u6b7b\u4ea1\u30ea\u30b9\u30af<\/strong>\u306b\u3064\u3044\u3066\u3082\u3001HDF\u306fHD\u306b\u6bd4\u3079\u306625%\u306e\u4f4e\u4e0b\u3092\u898b\u305b\u3066\u3044\u307e\u3057\u305f\uff08RR 0.75\uff09\u3002<\/p>\n\n\n\n \u3000<\/p>\n\n\n\n \u3082\u3046\u4e00\u3064\u6ce8\u76ee\u3059\u3079\u304d\u306f\u3001\u611f\u67d3\u75c7\u306b\u3088\u308b\u6b7b\u4ea1\u30ea\u30b9\u30af<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n HDF\u306f\u3053\u306e\u30ea\u30b9\u30af\u308231%\u6e1b\u5c11\u3055\u305b\u3066\u304a\u308a\uff08RR 0.69\uff09\u3001\u900f\u6790\u3092\u53d7\u3051\u308b\u60a3\u8005\u306b\u3068\u3063\u3066\u5927\u304d\u306a\u8105\u5a01\u3068\u306a\u308b\u611f\u67d3\u75c7\u304b\u3089\u3082\u3001HDF\u304c\u60a3\u8005\u3092\u4fdd\u8b77\u3059\u308b\u529b\u304c\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n \u3000<\/p>\n\n\n\n \u4e00\u65b9\u3001\u814e\u79fb\u690d\u306b\u95a2\u3057\u3066\u306f\u3001HDF\u3092\u53d7\u3051\u305f\u60a3\u8005\u306e\u65b9\u304c\u82e5\u5e72\u9ad8\u3044\u7d50\u679c\u3068\u306a\u308a\u307e\u3057\u305f\u304c\u3001\u3053\u308c\u306f\u7d71\u8a08\u7684\u306b\u6709\u610f\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n \u3057\u305f\u304c\u3063\u3066\u3001\u79fb\u690d\u7387\u306b\u306f\u5927\u304d\u306a\u9055\u3044\u306f\u306a\u3044\u3068\u8a00\u3048\u307e\u3059\u3002<\/p>\n\n\n\n \u3000<\/p>\n\n\n\n \u3053\u306e\u3088\u3046\u306b\u3001HDF\u306f\u5358\u306a\u308b\u8840\u6db2\u6d44\u5316\u306e\u624b\u6bb5\u306b\u7559\u307e\u3089\u305a\u3001\u60a3\u8005\u306e\u751f\u5b58\u7387\u3092\u5411\u4e0a\u3055\u305b\u308b<\/strong>\u6709\u529b\u306a\u6cbb\u7642\u6cd5\u3067\u3042\u308b\u3053\u3068\u304c\u3001\u4eca\u56de\u306e\u7814\u7a76\u3067\u660e\u78ba\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n \u900f\u6790\u3092\u5fc5\u8981\u3068\u3059\u308b\u60a3\u8005\u306b\u3068\u3063\u3066\u3001\u751f\u5b58\u7387\u3092\u9ad8\u3081\u308b\u9078\u629e\u80a2\u304c\u5897\u3048\u308b\u3053\u3068\u306f\u3001\u975e\u5e38\u306b\u91cd\u8981\u306a\u610f\u7fa9\u3092\u6301\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n \u3000<\/p>\n\n\n\n \u307e\u3068\u3081\uff1aHDF\u306e\u52b9\u679c<\/strong><\/p>\n\n\n\n – \u5168\u6b7b\u4ea1\u7387<\/strong>\uff1aHDF\u306f20%\u4f4e\u6e1b<\/p>\n\n\n\n – \u5fc3\u8840\u7ba1\u6b7b\u4ea1\u7387<\/strong>\uff1aHDF\u306f25%\u4f4e\u6e1b<\/p>\n\n\n\n – \u611f\u67d3\u95a2\u9023\u6b7b\u4ea1\u7387<\/strong>\uff1aHDF\u306f31%\u4f4e\u6e1b<\/p>\n\n\n\n – \u814e\u79fb\u690d\u7387<\/strong>\uff1a\u6709\u610f\u5dee\u306a\u3057<\/p>\n\n\n\n \u3000<\/p>\n\n\n\n \u4eca\u5f8c\u306e\u7814\u7a76\u3067\u306f\u3001HDF\u306e\u9577\u671f\u7684\u306a\u30e1\u30ea\u30c3\u30c8\u3084\u30b3\u30b9\u30c8\u306b\u95a2\u3059\u308b\u5206\u6790\u304c\u9032\u3081\u3089\u308c\u308b\u3053\u3068\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n \u73fe\u6642\u70b9\u3067\u306f\u3001HDF\u304c\u60a3\u8005\u306e\u751f\u5b58\u7387\u3092\u5411\u4e0a\u3055\u305b\u308b\u53ef\u80fd\u6027\u304c\u975e\u5e38\u306b\u9ad8\u3044\u3068\u3044\u3046\u7d50\u8ad6\u306b\u81f3\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n \u3000<\/p>\n\n\n\n \u53c2\u8003\u6587\u732e\uff1a<\/strong><\/p>\n\n\n\n Guimar\u00e3es MGM, Tapioca FPM, Dos Santos NR, Tourinho Ferreira FPDC, Santana Passos LC, Rocha PN. Hemodiafiltration versus Hemodialysis in End-Stage Kidney Disease: A Systematic Review and Meta-Analysis [published correction appears in Kidney Med. 2024 Jul 11;6(8):100869. doi: 10.1016\/j.xkme.2024.100869]. Kidney Med<\/em>. 2024;6(6):100829. Published 2024 Apr 18. doi:10.1016\/j.xkme.2024.100829<\/strong><\/p>\n\n\n\n \u3000<\/p>\n\n\n \u3000\u3000<\/p>\n","protected":false},"excerpt":{"rendered":" \u3000 \u900f\u6790\u6cbb\u7642\u3092\u53d7\u3051\u308b\u60a3\u8005\u306b\u3068\u3063\u3066\u3001\u8840\u6db2\u900f\u6790\uff08HD\uff09\u3068\u8840\u6db2\u6ffe\u904e\u900f\u6790\uff08HDF\uff09\u306f\u3001\u3069\u3061\u3089\u304c\u3088\u308a\u52b9\u679c\u7684\u306a\u306e\u3067\u3057\u3087\u3046\u304b\uff1f \u3053\u306e\u7591\u554f\u306f\u3001\u9577\u5e74\u306b\u308f\u305f\u308a\u533b\u7642\u73fe\u5834\u3067\u8b70\u8ad6\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002 \u3000 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