中华肾脏病杂志
中華腎髒病雜誌
중화신장병잡지
2012年
10期
747-751
,共5页
血液透析%生活质量%睡眠%营养
血液透析%生活質量%睡眠%營養
혈액투석%생활질량%수면%영양
Hemodialysis%Quality of life%Sleep%Nutrition
目的 研究长程血液透析(LSHD)对维持性血液透析(MHD)患者生活质量的影响.方法 选取首都医科大学附属北京友谊医院血液净化中心40例MHD患者,通过问卷调查和收集临床资料相结合的方法,进行前瞻性配对临床研究.根据临床资料、检验指标、睡眠质量将患者配对分组为普通透析(HD)组和LSHD组,各20例,进行6个月的临床试验,观察两组患者临床表现、生化指标及生活质量的情况.结果 LSHD组的Kt/V(1.73±0.36比1.41±0.23,P＜0.05)、血红蛋白[(124.67±9.08)比(110.55±9.01) g/L,P＜0.01]、血清白蛋白[(45.01±2.66)比(39.28±2.63) g/L,P＜0.01]显著高于HD组 ;血压控制比例(14/20比5/20,P=0.010)和睡眠质量(16/20比5/20,P=0.001)显著优于HD组 ;生活质量SF-36评分显著高于HD组(P＜0.05),差异均有统计学意义.结论 长程透析可以改善MHD患者睡眠质量、营养状况,从而改善生活质量.
目的 研究長程血液透析(LSHD)對維持性血液透析(MHD)患者生活質量的影響.方法 選取首都醫科大學附屬北京友誼醫院血液淨化中心40例MHD患者,通過問捲調查和收集臨床資料相結閤的方法,進行前瞻性配對臨床研究.根據臨床資料、檢驗指標、睡眠質量將患者配對分組為普通透析(HD)組和LSHD組,各20例,進行6箇月的臨床試驗,觀察兩組患者臨床錶現、生化指標及生活質量的情況.結果 LSHD組的Kt/V(1.73±0.36比1.41±0.23,P＜0.05)、血紅蛋白[(124.67±9.08)比(110.55±9.01) g/L,P＜0.01]、血清白蛋白[(45.01±2.66)比(39.28±2.63) g/L,P＜0.01]顯著高于HD組 ;血壓控製比例(14/20比5/20,P=0.010)和睡眠質量(16/20比5/20,P=0.001)顯著優于HD組 ;生活質量SF-36評分顯著高于HD組(P＜0.05),差異均有統計學意義.結論 長程透析可以改善MHD患者睡眠質量、營養狀況,從而改善生活質量.
목적 연구장정혈액투석(LSHD)대유지성혈액투석(MHD)환자생활질량적영향.방법 선취수도의과대학부속북경우의의원혈액정화중심40례MHD환자,통과문권조사화수집림상자료상결합적방법,진행전첨성배대림상연구.근거림상자료、검험지표、수면질량장환자배대분조위보통투석(HD)조화LSHD조,각20례,진행6개월적림상시험,관찰량조환자림상표현、생화지표급생활질량적정황.결과 LSHD조적Kt/V(1.73±0.36비1.41±0.23,P＜0.05)、혈홍단백[(124.67±9.08)비(110.55±9.01) g/L,P＜0.01]、혈청백단백[(45.01±2.66)비(39.28±2.63) g/L,P＜0.01]현저고우HD조 ;혈압공제비례(14/20비5/20,P=0.010)화수면질량(16/20비5/20,P=0.001)현저우우HD조 ;생활질량SF-36평분현저고우HD조(P＜0.05),차이균유통계학의의.결론 장정투석가이개선MHD환자수면질량、영양상황,종이개선생활질량.
Objective To study the effect of long session hemodialysis (LSHD) on the quality of life in maintenance hemodialysis (MHD) patients.Methods A total of 40 MHD patients in our dialysis center were enrolled in the study.Quality of life was investigated by SF-36 table.Sleep questionnaire survey concluded the Athens insomnia scale (AIS),Pittsburgh sleep quality index (PSQI) and Epworth sleepiness scale (ESS).Clinical data were collected.Forty MHD patients were equally divided into HD and LSHD groups according to clinical data and sleep quality score for prospective study.Hemodialysis dose of HD group was 4 h thrice weekly,and of LSHD group was 8 h thrice weekly.The trial lasted for 6 months.Changes of life quality were compared between two groups.Results As compared to HD group,LSHD group had significant higher Kt/V (1.73±0.36 vs 1.41±0.23,P＜0.05),higher levels of serum hemoglobin [(124.67±9.08) vs (110.55±9.01) g/L,P＜0.01] and albumin [(45.01±2.66) vs (39.28±2.63) g/L,P＜0.01].better sleep quality score (16/20 vs 5/20,P=0.001) and higher blood pressure control proportion (14/20 vs 5/20,P=0.010),higher score of SF-36 (P＜0.05).Conclusion LSHD can improve the life quality of MHD patients by increasing sleep quality and nutrition level.
