持续性非卧床式腹膜透析患者生存质量调查及相关影响因素分析

发布时间：2018-03-19 22:24

本文选题：持续性非卧床腹膜透析　切入点：生存质量　出处：《中国中西医结合肾病杂志》2014年06期 　论文类型：期刊论文

【摘要】：目的:评估持续性非卧床式腹膜透析(CAPD)患者的生存质量并探讨相关影响因素。方法:以沈阳军区总医院腹透中心94例CAPD患者为研究对象,采用KDQOL-SFTM生存质量评估量表评估患者生存质量并分析其与营养状态、透析充分性、残存肾功能(RRF)和微炎症状态的相关性。结果:(1)CAPD患者KDTA总体评分为66.5±6.2,SF-36总体评分为58.1±8.1。(2)男性与女性患者生存质量总体评分差异无统计学意义(P0.05);不同透析龄患者SF-36总体评分差异有统计学意义(P=0.007)。(3)SGA、Alb、Hb、Kt/V、RRF与生存质量总体评分存在相关性(P0.05)。(4)CRP、ESR与生存质量总体评分及各分支领域无相关性。(5)Kt/V、SGA与CAPD患者生存质量有显著相关性(P0.05)。结论:(1)CAPD的生存质量不受性别和年龄影响;(2)营养状态(SGA、Alb、HB)、腹膜透析充分性(Kt/V)、RRF均是CAPD患者生存质量的影响因素。
[Abstract]:Objective: to evaluate the quality of life (QOL) of patients with continuous ambulatory peritoneal dialysis (CAD) and to explore the related factors. Methods: 94 patients with CAPD in the abdominal dialysis center of Shenyang military region General Hospital were studied. The quality of life (QOL) of patients was evaluated by KDQOL-SFTM quality of life assessment scale and its nutritional status was analyzed. Results the overall KDTA score of CAPD patients was 66.5 卤6.2 卤8.1.2%. There was no significant difference between male and female patients in overall quality of life score (P 0.05), and SF-36 in different dialysis age patients had no significant difference (P 0.05). There was a significant correlation between Kt / VRF and overall quality of life score (P 0.05). There was no significant correlation between ESR and quality of life (QOL) score and the quality of life (QOL) of patients with CAPD. Conclusion the quality of life of CAPD patients is not affected by Kt / VSGA. Conclusion the quality of life of patients with CAPD is not affected by the quality of life (QQOL) of CAPD patients (P < 0.05). [conclusion] there is no significant correlation between RRF and quality of life (QOL) score of patients with CAPD (P < 0.05), and there is no significant correlation between RRF and quality of life (QOL) score in each branch area. Sex and age affected the nutritional status of CAPD patients, and the adequacy of peritoneal dialysis (KT / V) RRF were all the factors influencing the quality of life of patients with CAPD.
【作者单位】：第四军医大学西京医院肾脏病科;沈阳军区总医院肾脏病科;
【分类号】：R692.5

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