他山之石》香港、加拿大 力推腹膜透析

[MK]

http://mag.udn.com/mag/life/storypage.j ... _ID=197041
2009/06/02
【聯合晚報／記者林進修／台北報導】

台灣末期腎衰竭病患發生率全球第一。根據中央健保局統計，因慢性腎衰竭而需洗腎的病患已超過六萬人，每年健保花在透析的醫療費用更達300多億元，造成健保財務的沈重負擔。


香港中文大學醫學院教授李錦滔表示，腎衰竭病患只有腎臟移植、血液透析及腹膜透析三種選擇，但因捐贈器官來源有限，患者通常只能選擇後兩者。


經過多年統計分析，香港政府發現，末期腎衰竭病患每年接受血液透析的費用約4到6萬美元，幾乎是腹膜透析的2到3倍，於是在1996年推出「PD First」(腹膜透析優先)政策，規定醫療院所應優先提供腹膜透析治療，唯有腹膜透析效果不佳時，才能改採血液透析。


13年來，香港的腹膜透析占所有透析病患的比率，由不到5成增加到8成以上，成為全球腹膜透析率最高的地區。香港腎臟醫學會理事長、香港東華醫院腎臟科主任盧維基表示，和歐美人種相比，亞洲人接受腹膜透析的成效較佳。此外，香港腹膜透析患者平均年齡62.3歲，顯示高齡患者也適合接受這項治療，突破腹膜透析只適用於年輕人的傳統觀念。


加拿大安大略省的行動計畫，則希望2010年前腹膜透析患者能占所有透析患者的三成以上，一來減少花在往返醫療院所的額外負擔，也可讓老病患少點舟車勞頓之苦。


【2009/06/02 聯合晚報】

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