CAJ | 학술논문

目的：调查成功肾移植术后非老年男性受者的夜尿情况及生活质量，并探讨引起夜尿症的相关危险因素及原因。方法采用自我完成的问卷调查，内容包括肾移植手术前后主要临床记录特征、国际前列腺症状评分表（IPSS）以及生活质量评分表。在本院举办肾友会时，现场发放调查问卷并指导填写。结果调查问卷共发出182份，回收120份，90份符合此次研究的条件。90例患者中，61例（67.8％）出现夜间排尿次数≥2次，76例（84.4％）对目前的生活质量表示满意。肾移植术前尿量、术前总透析时间、目前24小时液体摄入量、肾移植术后时间与夜尿次数均无统计学相关性（均P＞0.05）。结论夜尿症是成功肾移植术后非老年男性受者中普遍存在的现象。本次研究表明夜尿症可能是由多种危险因素相互作用的结果，而且此类症状并未对该类人群的生活质量产生重大的不良影响。
목적：조사성공신이식술후비노년남성수자적야뇨정황급생활질량，병탐토인기야뇨증적상관위험인소급원인。방법채용자아완성적문권조사，내용포괄신이식수술전후주요림상기록특정、국제전렬선증상평분표（IPSS）이급생활질량평분표。재본원거판신우회시，현장발방조사문권병지도전사。결과조사문권공발출182빈，회수120빈，90빈부합차차연구적조건。90례환자중，61례（67.8％）출현야간배뇨차수≥2차，76례（84.4％）대목전적생활질량표시만의。신이식술전뇨량、술전총투석시간、목전24소시액체섭입량、신이식술후시간여야뇨차수균무통계학상관성（균P＞0.05）。결론야뇨증시성공신이식술후비노년남성수자중보편존재적현상。본차연구표명야뇨증가능시유다충위험인소상호작용적결과，이차차류증상병미대해류인군적생활질양산생중대적불량영향。
Objective To investigate the nocturia and its impact on the quality of life in the non-eldly male patients after successful renal transplantation and to explore the related risk factors and causes which led to nocturia. Methods We designed a patient-completed questionnaire according to the characteristics of clinical records,international prostate symptom score(IPSS)and quality of life score. We distributed the questionnaires and instructed them to fill in the meetingspot of kidney transplant friends. Results A total of 182 questionnaires were distributed and 120 were collected,only 90 cases meet the requirements of the study. The prevalence of nocturia(awakening at night twice or more to void)were 61 cases(67.8%). Seventy-six cases(84.4%)of all patients were satisfied with the quality of life after renal transplantation. There was no statistically correlation between urine output before transplantation(24 hours),the total time of hemodialysis before operation,24 hours fluid intake now,the total time after operation and nocturia(all P>0.05). Conclusions Nocturia was very prevalent in the non-eldly male patients after successful renal transplantation. This research demonstrated that nocturia may be caused by many risk factors interactions and did not bring an obvious adverse impact on the quality of life after successful renal transplantation.