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혈액투석 환자에서의 역동학적지수와 사회복귀와의 관계
The Correlation between the Kinetic Indices and Rehabilitation in the Patients on Maintenance Hemodialysis
김지훈(Ji Hoon Kim),채현기(Hyun Ki Chae),김정호(Jeong Ho Kim),강경원(Kyoung Won Kang),김호중(Ho Jung Kim),박찬현(Chan Hyun Park),강종명(Chong Myung Kang),박한철(Han Chul Park)
UCI I410-ECN-0102-2009-510-004685951

Objectives: The urea kinetic modeling has been used as useful index for adequate dialysis in hemodialysis patients, We performed this study to evaluate the useful- ness of kinetic index for degree of rehabilitation. Methods: The kinetic indices using urea kinetic modeling and degree of rehabilitation were analysed 105 patients with chronic renal failure on hemodialysis treated at the Hanyang University Hospital, Results: The dermographic characteristics of these patients, male to female was 58:42 and the mean age was 46.8±12.7 years. Underlying disorders of chronic renal failure consisted of chronic glomerulonephritis (71.5%), hypertensive nephrosclerosis (14.39%). and diabetic nephropathy (7.6%). Family status was significant in that 18 cases (58%) were married and 32.3% (10) were never married, the remaining 3 (9.7%) were divorced or widowed. Of the total 105 patients, 31 (43.1%) are presently employed. Of those 31 working patients, 16 were self-employed, S were on service jobs and 3 were on general office jobs. More than half (63.1%) of those patients worked full-time, 9(29%) part-time, and 3(9.7%) irregularly. Only 72 (68.6%) patients held jobs before dialysis, and 16 (22.2%) of those returned to the same job. The physical activity of the patients were stastically not related with urea kinetic indices such as PCR, Kt/V, total KT/V/week, TACurea, nor with hematocrit (p>0.05). However, in serum albumin level the difference between group 0, 1, 2 and group 3, 4 in physical activity was significant (p<0.05). The patients dialysed below 2 times per week had lower values of Kt/V, total KT/V/ wk, and PCR than the patients dialysed more than 2 times per week(p<0.01). Conclusion: From the above results, it appeared that kinetic indices using urea kinetic mdeling are not closely related to the degree of rehabilitation in hemodialysis patients,

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