Selection of dialysis methods for end-stage kidney disease patients with diabetes  

作　　者：Yao-Hua Hu Ya-Li Liu Ling-Fei Meng Yi-Xian Zhang Wen-Peng Cui 

机构地区：[1]Department of Nephrology,The Second Hospital of Jilin University,Changchun 130041,Jilin Province,China

出　　处：《World Journal of Diabetes》2024年第9期1862-1873,共12页世界糖尿病杂志（英文版）（电子版）

基　　金：Supported by Science and Technology Department of Jilin Province,No.YDZJ202201ZYTS110 and No.20200201352JC.

摘　　要：The increasing prevalence of diabetes has led to a growing population of endstage kidney disease(ESKD)patients with diabetes.Currently,kidney transplantation is the best treatment option for ESKD patients;however,it is limited by the lack of donors.Therefore,dialysis has become the standard treatment for ESKD patients.However,the optimal dialysis method for diabetic ESKD patients remains controversial.ESKD patients with diabetes often present with complex conditions and numerous complications.Furthermore,these patients face a high risk of infection and technical failure,are more susceptible to malnutrition,have difficulty establishing vascular access,and experience more frequent blood sugar fluctuations than the general population.Therefore,this article reviews nine critical aspects:Survival rate,glucose metabolism disorder,infectious complications,cardiovascular events,residual renal function,quality of life,economic benefits,malnutrition,and volume load.This study aims to assist clinicians in selecting individualized treatment methods by comparing the advantages and disadvantages of hemodialysis and peritoneal dialysis,thereby improving patients’quality of life and survival rates.

关 键 词：DIABETES End-stage kidney disease HEMODIALYSIS Peritoneal dialysis Dialysis methods selection 

分 类 号：R725.8[医药卫生—儿科] R726.9[医药卫生—临床医学]