老年肾移植患者生活质量的临床研究

发布时间：2018-05-16 06:27

本文选题：老年 + 透析　；参考：《广东医学》2017年17期

【摘要】：目的探究老年肾移植患者生活质量。方法收集规律透析和肾移植随访患者的人口学资料及临床资料,采用简明健康调查问卷评估生活质量,分别比较老年透析与老年肾移植、中青年肾移植与老年肾移植患者的生活质量差异。结果 (1)老年透析组生活质量各方面评分均低于老年肾移植组。其中生理机能、生理职能、精力、社会功能4个维度以及生活质量总分两组之间差异均有统计学意义(P0.05),且老年肾移植组患者的血红蛋白、三酰甘油、尿酸、肌酐、白蛋白、钙、磷指标均优于老年透析组(P0.05)。(2)在中青年与老年肾移植组生活质量各维度得分、生活质量总分、除白蛋白以外的各生化指标比较中,均无统计学差异(P0.05)。结论老年肾移植后患者的生活质量较老年透析患者高,且其生活质量与中青年肾移植患者相比无明显差异。因此肾移植对于老年终末期肾脏病患者同样值得推荐。
[Abstract]:Objective to investigate the quality of life of elderly renal transplantation patients. Methods the demographic and clinical data of patients with regular dialysis and renal transplantation were collected, and the quality of life was evaluated by simple health questionnaire. Differences in quality of life between young and middle-aged renal transplantation patients and elderly renal transplantation patients. Results 1) the scores of quality of life in the elderly dialysis group were lower than those in the elderly renal transplantation group. There were significant differences in the four dimensions of physiological function, energy, social function and total quality of life between the two groups (P 0.05). The hemoglobin, triglyceride, uric acid, creatinine, albumin, calcium in the elderly renal transplantation group were all significantly different. P index was better than that in the elderly dialysis group (P 0.05, P 0.05). There was no significant difference in the quality of life (QOL), total quality of life (QOL) and biochemical indexes (except albumin) between the middle aged and the aged renal transplantation group (P 0.05). Conclusion the quality of life of the elderly patients after renal transplantation is higher than that of the elderly dialysis patients, and there is no significant difference in the quality of life between the elderly and the young renal transplant patients. Therefore, kidney transplantation is also recommended for elderly patients with end-stage kidney disease.
【作者单位】：佛山市第一人民医院肾内科;
【基金】：佛山市创新型城市建设科技项目-佛山市科技平台(编号:2013AG10008)
【分类号】：R699.2

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