慢性肾脏病照护讲议-林新医院.pdfVIP

陳鎮銘 •慢性腎臟病已成為世界流行的疾 病之一。 •慢性腎臟病常不會有明顯的症狀 ， 將近80-90% 的病人未被診 。 •台灣慢性腎臟病的盛行率 為9.8-11.9% 。 • 台灣有 170 到200 萬的CKD 病 患，但認知率卻只有3.5% 。 CKD 對死亡率之影響 •CKD 的併發症，對CKD 病人的存活造成很 大的影響。 •CKD 死亡率將隨著GFR 的降低而升高，尤 其是心臟血管系統死亡率。 •GFR 高但有蛋白尿的CKD 病患，其死亡率 亦較高。 •GFR 60 mL/min/1.73m2 VS GFR ≧60 mL/min/1.73m2 有較高的死亡率 •台灣十大死因的第八位，每年發生ESRD 的 病患更是超過 9,000 人 Incidence of ESRD, 2009 Figure 12.3 (Volume 2) Data presented only for countries from which relevant information was available; “.” signifies data not reported. All rates unadjusted. ^UK : England, Wales, Northern Ireland (Scotland data reported separately). Data for Belgium England/Wales/Northern Ireland do not include patients younger than 20 18, respectively. †Latest data for Luxembourg, Poland, the Philippines are for 2008. Data for France include 13 regions in 2005, 15 regions in 2006, 18 regions in 2007, 20 regions in 2008 2009. Prevalence of ESRD, 2009 Figure 12.6 (Volume 2) Data presented only for countries from which relevant information was available; “.” signifies data not reported. All rates unadjusted. ^UK : England, Wales, Northern Ireland (Scotland data reported separately). Data for Belgium England/Wales/Northern Ireland do not include patients younger than 20 18, respectively. *Argentina (2005–2007, 2009), Bangladesh, Brazil, Czech Republic (2005–2008), Comparison of unadjusted ESRD incidence worldwide Figure 12.1 (Volume 2) All rates are unadjusted. Data from Argentina (2005–2007, 2009), Czech Republic (2005–2008), Japan, Taiwan are dialysis only. Comparison of unad