| 저자 |
Jong Won Park, Jun Huck Su, Eun Woo Choi, Sae Hyun Park, Kyu Hyang Cho, Kyung Woo Yoon, Jun Young Do, Seok Hui Kang |
| 초록 |
Background: The aim of the present study was to compare malnutrition-inflammation-atherosclerosis components between automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD).
Patients and Methods: Matched for age, sex, diabetes mellitus, and dialysis vintage, 17 patients undergoing CAPD and 17 undergoing APD were included. Main outcome measures included serum albumin, subjective global assessment score (SGA), nPCR, IL-6, TNF-α, hs-CRP, intimal media thickness, overhydration/extracellular water (OH/ECW, %), and LV mass index.
Results: Serum albumins in the CAPD and APD groups were 3.6±0.5 and 3.9±0.5 g/dL, respectively (p=0.128). SGAs in the CAPD and APD groups were 10.0±1.6 and 9.4±2.0 (p=0.375). nPCRs in the CAPD and APD groups were 0.83±0.14 and 0.83±0.28, respectively (p=0.993). There were no significant differences in IL-6, TNF-α, and hs-CRP between the two groups. Markers associated with volume status in CAPD group were better than the APD group (pulmonary capillary wedge pressure; 19.3±8.9 in the CAPD group and 15.4±5.1 in the APD group). OH/ECW in APD group was less than that in CAPD group (p=0.047). sICAM and sVCAM levels in APD group were less in those in CAPD group, but no statistical significances were observed.
Conclusion: The present study shows that many MIA syndrome components were not different between APD and CAPD. In addition, volume control in APD group may be at least as efficacious as CAPD. |