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Sustainable light value

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◀+업체디비업체✔️➡️텔레그램MBE24

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작성자 호철
댓글 0건 조회 1회 작성일 25-04-05 22:38

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◀+업체디비업체✔️➡️텔레그램MBE24 환자 혈압 상태 모니터링 필요해...생활 습관 개선도 필수말기 신부전에 동반되는 고혈압이 신장이식 이후 혈압이 정상으로 회복될 시 이식장기의 생존율이 향상되고, 환자의 사망 위험이 저하된다는 연구 결과가 나왔다.삼성서울병원 신장내과 장혜련·이경호 교수와 한경도 숭실대 교수팀은 국민건강보험공단의 2006년~2015년 신장이식을 받은 환자 1만1천317명의 데이터를 분석했다.연구팀은 신장 이식 이전 고혈압을 진단받았던 환자 중 4천408명(36%)은 이식 후 고혈압이 완치돼 1년 넘게 항고혈압제를 복용하지 않아도 됐다고 밝혔다. 반면, 7천269명(64%)은 고혈압이 지속되는 상태여서 약 복용이 필요했다.(왼쪽부터) 삼성서울병원 신장내과 장혜련·이경호 교수, 한경도 숭실대 교수 (사진=삼성서울병원)고혈압이 완치된 환자군은 고혈압이 지속되었던 환자 군과 비교해 신장이식 후 전반적인 예후가 좋게 나타났다. 이식받은 신장의 기능 상실 위험도는 고혈압 완치군이 지속군에 비해 39% 낮았다. 이식 후 사망 위험도도 32% 감소했다.신장 기능이 저하될 때 고혈압이 발생한다. 하지만 고혈압으로 인해 신장 기능이 악화하는 경우도 적지 않다. 신장이식 후 정상 혈압으로 돌아오면 이식 후 좋은 예후를 알리는 신호탄으로 볼 수 있다는 것이 연구팀의 분석이다.또 나이가 젊은 만성 콩팥병 환자의 상당수가 일차성 고혈압의 요소보다는 신기능 저하로 인한 이차성 고혈압인 경우가 많은 것으로 확인됐다. 즉, 이들은 이식 후 고혈압이 호전될 가능성이 더 높고, 고혈압이 완치될 수 있도록 적절히 식생활 습관을 개선하면 신장이식의 예후를 더욱 향상할 수 있다.장혜련 교수는 “신장이식 후 혈압이 정상화되는 것은 이식 장기의 생존과 환자 생존의 주요 예측 지표”라며 “의료진은 환자의 혈압 조절 상태를 면밀히 모니터링하고, 식생활 습관 개선 교육과 맞춤형 치료 전략을 수립해야 한다”라고 강조했다.한편, 연구 결과는 국제고혈압학회 및 유럽고혈압학회 공식 학술지(Journal of Hypertension)에 게재됐다.

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