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<div _ngcontent-ng-c2583254531="" class="markdown markdown-main-panel stronger" id="" dir="ltr" style="--animation-duration: 400ms; --fade-animation-function: linear;"><h2 data-sourcepos="1:1-1:25">신대체요법: 복막투석 vs 혈액투석 비교</h2><p data-sourcepos="3:1-3:93">신부전으로 인해 신장 기능이 저하되면 신체 내 노폐물과 과잉 수분을 제거하는 신대체요법이 필요합니다. 신대체요법에는 크게 복막투석과 혈액투석 두 가지 방법이 있습니다.</p><h3 data-sourcepos="5:1-5:11">1. 복막투석</h3><h4 data-sourcepos="7:1-7:12">복막투석 원리</h4><p data-sourcepos="9:1-9:152">복막투석은 환자 자신의 복막을 이용하여 노폐물과 과잉 수분을 제거하는 방법입니다. 복막은 혈관이 많이 분포된 얇은 막으로, 투석액과 혈액 사이에 노폐물과 수분이 교환되는 역할을 합니다. 복막투석 시에는 복강 내에 투석액을 주입하고 일정 시간 후 배액하는 과정을 반복합니다.</p><h4 data-sourcepos="11:1-11:12">복막투석 종류</h4><p data-sourcepos="13:1-13:56">복막투석에는 크게 지속적 외래 복막투석(CAPD)과 자동 복막투석(APD) 두 가지 종류가 있습니다.</p><ul data-sourcepos="15:1-17:0">
<li data-sourcepos="15:1-15:99"><strong>지속적 외래 복막투석(CAPD):</strong> 하루 4~5회, 24시간 동안 지속적으로 투석액을 교환하는 방법입니다. 환자가 직접 투석액을 주입하고 배액하는 과정을 수행합니다.</li>
<li data-sourcepos="16:1-17:0"><strong>자동 복막투석(APD):</strong> 잠자는 동안 기계를 이용하여 투석액을 교환하는 방법입니다. 자기 전에 기계를 설정해 놓으면 자는 동안 자동으로 투석이 진행됩니다.</li>
</ul><h4 data-sourcepos="18:1-18:12">복막투석 장점</h4><ul data-sourcepos="20:1-23:0">
<li data-sourcepos="20:1-20:60"><strong>가정에서 편리하게 투석 가능:</strong> 병원에 자주 방문하지 않고 집에서 편리하게 투석할 수 있습니다.</li>
<li data-sourcepos="21:1-21:60"><strong>잔여 신장 기능 보존에 유리:</strong> 혈액투석에 비해 잔여 신장 기능을 더 오래 유지할 수 있습니다.</li>
<li data-sourcepos="22:1-23:0"><strong>혈압 조절에 도움:</strong> 혈압 변동 폭이 적어 혈압 조절에 도움이 됩니다.</li>
</ul><h4 data-sourcepos="24:1-24:12">복막투석 단점</h4><ul data-sourcepos="26:1-29:0">
<li data-sourcepos="26:1-26:41"><strong>복막염 위험:</strong> 복막에 염증이 생길 수 있는 위험이 있습니다.</li>
<li data-sourcepos="27:1-27:48"><strong>체중 증가:</strong> 투석액에 포함된 포도당으로 인해 체중이 증가할 수 있습니다.</li>
<li data-sourcepos="28:1-29:0"><strong>도관 관리 필요:</strong> 복막투석 도관을 삽입하고 관리해야 합니다.</li>
</ul><h3 data-sourcepos="30:1-30:11">2. 혈액투석</h3><h4 data-sourcepos="32:1-32:12">혈액투석 원리</h4><p data-sourcepos="34:1-34:124">혈액투석은 인공신장기(투석기)를 이용하여 혈액 속 노폐물과 과잉 수분을 제거하는 방법입니다. 혈액투석 시에는 동정맥루 또는 카테터를 통해 혈액을 체외로 빼낸 후 투석기를 거쳐 깨끗하게 정화된 혈액을 다시 체내로 주입합니다.</p><h4 data-sourcepos="36:1-36:12">혈액투석 종류</h4><p data-sourcepos="38:1-38:46">혈액투석은 주로 병원에서 진행되며, 1주일에 3회, 1회당 4시간 정도 소요됩니다.</p><h4 data-sourcepos="40:1-40:12">혈액투석 장점</h4><ul data-sourcepos="42:1-44:0">
<li data-sourcepos="42:1-42:42"><strong>노폐물 제거 효율:</strong> 복막투석보다 노폐물 제거 효율이 높습니다.</li>
<li data-sourcepos="43:1-44:0"><strong>투석 과정 간편:</strong> 투석 과정이 비교적 간편하고 의료진의 도움을 받을 수 있습니다.</li>
</ul><h4 data-sourcepos="45:1-45:12">혈액투석 단점</h4><ul data-sourcepos="47:1-50:0">
<li data-sourcepos="47:1-47:45"><strong>병원 방문 필요:</strong> 정기적으로 병원에 방문하여 투석을 받아야 합니다.</li>
<li data-sourcepos="48:1-48:37"><strong>혈압 변동:</strong> 투석 중 혈압 변동이 있을 수 있습니다.</li>
<li data-sourcepos="49:1-50:0"><strong>혈관 접근로 관리 필요:</strong> 동정맥루 또는 카테터를 삽입하고 관리해야 합니다.</li>
</ul><h3 data-sourcepos="51:1-51:22">3. 복막투석 vs 혈액투석 비교</h3><div class="horizontal-scroll-wrapper">
<div class="table-block-component"><response-element class="" ng-version="0.0.0-PLACEHOLDER"><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><table-block _nghost-ng-c1250838052="" class="ng-star-inserted"><div _ngcontent-ng-c1250838052="" class="table-block"><div _ngcontent-ng-c1250838052="" not-end-of-paragraph="" class="table-content not-end-of-paragraph"><table data-sourcepos="53:1-62:29"><tbody><tr data-sourcepos="53:1-53:20"><th data-sourcepos="53:1-53:4">구분</th><th data-sourcepos="53:6-53:11">복막투석</th><th data-sourcepos="53:13-53:18">혈액투석</th></tr><tr data-sourcepos="55:1-55:19"><td data-sourcepos="55:1-55:7">투석 장소</td><td data-sourcepos="55:9-55:12">가정</td><td data-sourcepos="55:14-55:17">병원</td></tr><tr data-sourcepos="56:1-56:21"><td data-sourcepos="56:1-56:7">투석 횟수</td><td data-sourcepos="56:9-56:12">매일</td><td data-sourcepos="56:14-56:19">주 3회</td></tr><tr data-sourcepos="57:1-57:28"><td data-sourcepos="57:1-57:7">투석 시간</td><td data-sourcepos="57:9-57:17">24시간 지속</td><td data-sourcepos="57:19-57:26">1회 4시간</td></tr><tr data-sourcepos="58:1-58:32"><td data-sourcepos="58:1-58:10">잔여 신장 기능</td><td data-sourcepos="58:12-58:19">보존에 유리</td><td data-sourcepos="58:21-58:30">상대적으로 불리</td></tr><tr data-sourcepos="59:1-59:24"><td data-sourcepos="59:1-59:4">혈압</td><td data-sourcepos="59:6-59:10">안정적</td><td data-sourcepos="59:12-59:22">변동 가능성 있음</td></tr><tr data-sourcepos="60:1-60:23"><td data-sourcepos="60:1-60:7">감염 위험</td><td data-sourcepos="60:9-60:13">복막염</td><td data-sourcepos="60:15-60:21">혈액 감염</td></tr><tr data-sourcepos="61:1-61:27"><td data-sourcepos="61:1-61:7">체중 증가</td><td data-sourcepos="61:9-61:16">가능성 있음</td><td data-sourcepos="61:18-61:25">비교적 적음</td></tr><tr data-sourcepos="62:1-62:29"><td data-sourcepos="62:1-62:8">혈관 접근로</td><td data-sourcepos="62:10-62:13">도관</td><td data-sourcepos="62:15-62:27">동정맥루 또는 카테터</td></tr></tbody></table></div><div _ngcontent-ng-c1250838052="" hide-from-message-actions="" class="table-footer hide-from-message-actions ng-star-inserted"><button _ngcontent-ng-c1250838052="" mat-button="" mat-ripple-loader-uninitialized="" mat-ripple-loader-class-name="mat-mdc-button-ripple" class="mdc-button mat-mdc-button mat-unthemed mat-mdc-button-base" jslog="184701;track:generic_click,impression;BardVeMetadataKey:[[&quot;r_5f4f03e08dd87e20&quot;,&quot;c_dab0e6f0f7663c96&quot;,null,null,null,null,null,null,null,null,null,null,0]]"><span class="mat-mdc-button-persistent-ripple mdc-button__ripple"></span><span class="mdc-button__label"><span _ngcontent-ng-c1250838052="" class="export-sheets-button"><span _ngcontent-ng-c1250838052="" class="export-sheets-icon"><mat-icon _ngcontent-ng-c1250838052="" role="img" fonticon="drive_spreadsheet" class="mat-icon notranslate google-symbols mat-ligature-font mat-icon-no-color" aria-hidden="true" data-mat-icon-type="font" data-mat-icon-name="drive_spreadsheet"></mat-icon></span><span _ngcontent-ng-c1250838052="">Sheets로 내보내기</span></span></span><span class="mat-focus-indicator"></span><span class="mat-mdc-button-touch-target"></span></button></div><!----></div></table-block><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----></response-element></div>
</div><h3 data-sourcepos="64:1-64:6">결론</h3><p data-sourcepos="66:1-66:107">복막투석과 혈액투석은 각각 장단점을 가지고 있으며, 환자의 상태와 생활 방식에 따라 적합한 방법을 선택해야 합니다. 신장 전문의와 상담하여 자신에게 맞는 투석 방법을 결정하는 것이 중요합니다.</p><p data-sourcepos="68:1-68:196"><strong>Disclaimer:</strong> This information is for educational <span class="citation-0 citation-end-0 interactive-span-selected-v2">purposes only and should not be considered medical advice. 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<div _ngcontent-ng-c2583254531="" class="markdown markdown-main-panel stronger" id="" dir="ltr" style="--animation-duration: 400ms; --fade-animation-function: linear;"><h2 data-sourcepos="1:1-1:25">신대체요법: 복막투석 vs 혈액투석 비교</h2><p data-sourcepos="3:1-3:93">신부전으로 인해 신장 기능이 저하되면 신체 내 노폐물과 과잉 수분을 제거하는 신대체요법이 필요합니다. 신대체요법에는 크게 복막투석과 혈액투석 두 가지 방법이 있습니다.</p><h3 data-sourcepos="5:1-5:11">1. 복막투석</h3><h4 data-sourcepos="7:1-7:12">복막투석 원리</h4><p data-sourcepos="9:1-9:152">복막투석은 환자 자신의 복막을 이용하여 노폐물과 과잉 수분을 제거하는 방법입니다. 복막은 혈관이 많이 분포된 얇은 막으로, 투석액과 혈액 사이에 노폐물과 수분이 교환되는 역할을 합니다. 복막투석 시에는 복강 내에 투석액을 주입하고 일정 시간 후 배액하는 과정을 반복합니다.</p><h4 data-sourcepos="11:1-11:12">복막투석 종류</h4><p data-sourcepos="13:1-13:56">복막투석에는 크게 지속적 외래 복막투석(CAPD)과 자동 복막투석(APD) 두 가지 종류가 있습니다.</p><ul data-sourcepos="15:1-17:0">
<li data-sourcepos="15:1-15:99"><strong>지속적 외래 복막투석(CAPD):</strong> 하루 4~5회, 24시간 동안 지속적으로 투석액을 교환하는 방법입니다. 환자가 직접 투석액을 주입하고 배액하는 과정을 수행합니다.</li>
<li data-sourcepos="16:1-17:0"><strong>자동 복막투석(APD):</strong> 잠자는 동안 기계를 이용하여 투석액을 교환하는 방법입니다. 자기 전에 기계를 설정해 놓으면 자는 동안 자동으로 투석이 진행됩니다.</li>
</ul><h4 data-sourcepos="18:1-18:12">복막투석 장점</h4><ul data-sourcepos="20:1-23:0">
<li data-sourcepos="20:1-20:60"><strong>가정에서 편리하게 투석 가능:</strong> 병원에 자주 방문하지 않고 집에서 편리하게 투석할 수 있습니다.</li>
<li data-sourcepos="21:1-21:60"><strong>잔여 신장 기능 보존에 유리:</strong> 혈액투석에 비해 잔여 신장 기능을 더 오래 유지할 수 있습니다.</li>
<li data-sourcepos="22:1-23:0"><strong>혈압 조절에 도움:</strong> 혈압 변동 폭이 적어 혈압 조절에 도움이 됩니다.</li>
</ul><h4 data-sourcepos="24:1-24:12">복막투석 단점</h4><ul data-sourcepos="26:1-29:0">
<li data-sourcepos="26:1-26:41"><strong>복막염 위험:</strong> 복막에 염증이 생길 수 있는 위험이 있습니다.</li>
<li data-sourcepos="27:1-27:48"><strong>체중 증가:</strong> 투석액에 포함된 포도당으로 인해 체중이 증가할 수 있습니다.</li>
<li data-sourcepos="28:1-29:0"><strong>도관 관리 필요:</strong> 복막투석 도관을 삽입하고 관리해야 합니다.</li>
</ul><h3 data-sourcepos="30:1-30:11">2. 혈액투석</h3><h4 data-sourcepos="32:1-32:12">혈액투석 원리</h4><p data-sourcepos="34:1-34:124">혈액투석은 인공신장기(투석기)를 이용하여 혈액 속 노폐물과 과잉 수분을 제거하는 방법입니다. 혈액투석 시에는 동정맥루 또는 카테터를 통해 혈액을 체외로 빼낸 후 투석기를 거쳐 깨끗하게 정화된 혈액을 다시 체내로 주입합니다.</p><h4 data-sourcepos="36:1-36:12">혈액투석 종류</h4><p data-sourcepos="38:1-38:46">혈액투석은 주로 병원에서 진행되며, 1주일에 3회, 1회당 4시간 정도 소요됩니다.</p><h4 data-sourcepos="40:1-40:12">혈액투석 장점</h4><ul data-sourcepos="42:1-44:0">
<li data-sourcepos="42:1-42:42"><strong>노폐물 제거 효율:</strong> 복막투석보다 노폐물 제거 효율이 높습니다.</li>
<li data-sourcepos="43:1-44:0"><strong>투석 과정 간편:</strong> 투석 과정이 비교적 간편하고 의료진의 도움을 받을 수 있습니다.</li>
</ul><h4 data-sourcepos="45:1-45:12">혈액투석 단점</h4><ul data-sourcepos="47:1-50:0">
<li data-sourcepos="47:1-47:45"><strong>병원 방문 필요:</strong> 정기적으로 병원에 방문하여 투석을 받아야 합니다.</li>
<li data-sourcepos="48:1-48:37"><strong>혈압 변동:</strong> 투석 중 혈압 변동이 있을 수 있습니다.</li>
<li data-sourcepos="49:1-50:0"><strong>혈관 접근로 관리 필요:</strong> 동정맥루 또는 카테터를 삽입하고 관리해야 합니다.</li>
</ul><h3 data-sourcepos="51:1-51:22">3. 복막투석 vs 혈액투석 비교</h3><div class="horizontal-scroll-wrapper">
<div class="table-block-component"><response-element class="" ng-version="0.0.0-PLACEHOLDER"><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><table-block _nghost-ng-c1250838052="" class="ng-star-inserted"><div _ngcontent-ng-c1250838052="" class="table-block"><div _ngcontent-ng-c1250838052="" not-end-of-paragraph="" class="table-content not-end-of-paragraph"><table data-sourcepos="53:1-62:29"><tbody><tr data-sourcepos="53:1-53:20"><th data-sourcepos="53:1-53:4">구분</th><th data-sourcepos="53:6-53:11">복막투석</th><th data-sourcepos="53:13-53:18">혈액투석</th></tr><tr data-sourcepos="55:1-55:19"><td data-sourcepos="55:1-55:7">투석 장소</td><td data-sourcepos="55:9-55:12">가정</td><td data-sourcepos="55:14-55:17">병원</td></tr><tr data-sourcepos="56:1-56:21"><td data-sourcepos="56:1-56:7">투석 횟수</td><td data-sourcepos="56:9-56:12">매일</td><td data-sourcepos="56:14-56:19">주 3회</td></tr><tr data-sourcepos="57:1-57:28"><td data-sourcepos="57:1-57:7">투석 시간</td><td data-sourcepos="57:9-57:17">24시간 지속</td><td data-sourcepos="57:19-57:26">1회 4시간</td></tr><tr data-sourcepos="58:1-58:32"><td data-sourcepos="58:1-58:10">잔여 신장 기능</td><td data-sourcepos="58:12-58:19">보존에 유리</td><td data-sourcepos="58:21-58:30">상대적으로 불리</td></tr><tr data-sourcepos="59:1-59:24"><td data-sourcepos="59:1-59:4">혈압</td><td data-sourcepos="59:6-59:10">안정적</td><td data-sourcepos="59:12-59:22">변동 가능성 있음</td></tr><tr data-sourcepos="60:1-60:23"><td data-sourcepos="60:1-60:7">감염 위험</td><td data-sourcepos="60:9-60:13">복막염</td><td data-sourcepos="60:15-60:21">혈액 감염</td></tr><tr data-sourcepos="61:1-61:27"><td data-sourcepos="61:1-61:7">체중 증가</td><td data-sourcepos="61:9-61:16">가능성 있음</td><td data-sourcepos="61:18-61:25">비교적 적음</td></tr><tr data-sourcepos="62:1-62:29"><td data-sourcepos="62:1-62:8">혈관 접근로</td><td data-sourcepos="62:10-62:13">도관</td><td data-sourcepos="62:15-62:27">동정맥루 또는 카테터</td></tr></tbody></table></div><div _ngcontent-ng-c1250838052="" hide-from-message-actions="" class="table-footer hide-from-message-actions ng-star-inserted"><button _ngcontent-ng-c1250838052="" mat-button="" mat-ripple-loader-uninitialized="" mat-ripple-loader-class-name="mat-mdc-button-ripple" class="mdc-button mat-mdc-button mat-unthemed mat-mdc-button-base" jslog="184701;track:generic_click,impression;BardVeMetadataKey:[["r_5f4f03e08dd87e20","c_dab0e6f0f7663c96",null,null,null,null,null,null,null,null,null,null,0]]"><span class="mat-mdc-button-persistent-ripple mdc-button__ripple"></span><span class="mdc-button__label"><span _ngcontent-ng-c1250838052="" class="export-sheets-button"><span _ngcontent-ng-c1250838052="" class="export-sheets-icon"><mat-icon _ngcontent-ng-c1250838052="" role="img" fonticon="drive_spreadsheet" class="mat-icon notranslate google-symbols mat-ligature-font mat-icon-no-color" aria-hidden="true" data-mat-icon-type="font" data-mat-icon-name="drive_spreadsheet"></mat-icon></span><span _ngcontent-ng-c1250838052="">Sheets로 내보내기</span></span></span><span class="mat-focus-indicator"></span><span class="mat-mdc-button-touch-target"></span></button></div><!----></div></table-block><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----><!----></response-element></div>
</div><h3 data-sourcepos="64:1-64:6">결론</h3><p data-sourcepos="66:1-66:107">복막투석과 혈액투석은 각각 장단점을 가지고 있으며, 환자의 상태와 생활 방식에 따라 적합한 방법을 선택해야 합니다. 신장 전문의와 상담하여 자신에게 맞는 투석 방법을 결정하는 것이 중요합니다.</p><p data-sourcepos="68:1-68:196"><strong>Disclaimer:</strong> This information is for educational <span class="citation-0 citation-end-0 interactive-span-selected-v2">purposes only and should not be considered medical advice. Please consult with a healthcare professional for personalized guidance<source-footnote ng-version="0.0.0-PLACEHOLDER" _nghost-ng-c2475348448=""><sup _ngcontent-ng-c2475348448="" class="superscript visible highlight" data-turn-source-index="1"> 1 <!----></sup></source-footnote></span>.<sources-carousel-inline ng-version="0.0.0-PLACEHOLDER" _nghost-ng-c3028895234=""><span _ngcontent-ng-c3028895234="" hide-from-message-actions="" class="button-container hide-from-message-actions ng-star-inserted"> <button _ngcontent-ng-c3028895234="" hide-from-message-actions="" aria-controls="sources" class="mat-mdc-tooltip-trigger button image-fade-on button-selected hide-from-message-actions" aria-expanded="true" jslog="220646;track:generic_click,impression" aria-describedby="cdk-describedby-message-ng-1-6" cdk-describedby-host="ng-1"><mat-icon _ngcontent-ng-c3028895234="" role="img" class="mat-icon notranslate symbol google-symbols mat-ligature-font mat-icon-no-color" aria-hidden="true" data-mat-icon-type="font" data-mat-icon-name="expand_less" fonticon="expand_less"></mat-icon></button><!----></span><!----><sources-carousel _ngcontent-ng-c3028895234="" hide-from-message-actions="" id="sources" _nghost-ng-c4269634611="" class="ng-tns-c4269634611-4 hide-from-message-actions ng-star-inserted" style="display: flex; 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