引用本文
  • 孙博,汤晓静,申嫒文,郁胜强.夜间血液透析对维持性血液透析患者透析并发症和耐受性的影响[J].第二军医大学学报,2017,38(8):973-977    [点击复制]
  • SUN Bo,TANG Xiao-jing,SHEN Ai-wen,YU Sheng-qiang.Effect of nocturnal hemodialysis on dialysis complications and tolerability in maintenance hemodialysis patients[J].Acad J Sec Mil Med Univ,2017,38(8):973-977   [点击复制]
【打印本页】 【下载PDF全文】 查看/发表评论下载PDF阅读器关闭

←前一篇|后一篇→

过刊浏览    高级检索

本文已被:浏览 129次   下载 109 本文二维码信息
码上扫一扫!
夜间血液透析对维持性血液透析患者透析并发症和耐受性的影响
孙博,汤晓静,申嫒文,郁胜强*
0
(第二军医大学长征医院肾内科, 解放军肾脏病研究所, 上海 200003
共同第一作者
*通信作者)
摘要:
目的 比较夜间血液透析(NHD)和传统血液透析(CHD)患者透析并发症和耐受性的差异。方法 选取第二军医大学长征医院NHD和CHD患者各72例,收集两组患者的临床资料,记录透析后恢复时间,并对其透析时低血压及透析后疲乏、瘙痒、肌肉痉挛、头晕、头痛、食欲下降、恶心、呕吐、睡眠障碍等身体不适,以及担心死亡、担心设备故障、失去自由、失去工作等心理上的压力和生活状况共20项指标进行问卷调查。结果 与CHD组比较,NHD组患者透析后恢复时间短(P<0.01),透析期间低血压以及透析后疲乏、瘙痒、头晕、头痛、食欲下降、恶心、呕吐等并发症减少(P<0.05,P<0.01),失去自由的人数减少(P<0.01),但担心设备故障的人数增多(P<0.01)。结论 NHD比CHD的血液透析相关并发症少,更能有效提高维持性血液透析患者的耐受性。
关键词:  肾透析  夜间血液透析  传统血液透析  透析并发症  耐受性
DOI:10.16781/j.0258-879x.2017.08.0973
投稿时间:2017-04-20修订日期:2017-06-29
基金项目:国家自然科学基金(81500533).
Effect of nocturnal hemodialysis on dialysis complications and tolerability in maintenance hemodialysis patients
SUN Bo,TANG Xiao-jing,SHEN Ai-wen,YU Sheng-qiang*
(Department of Nephrology, Kidney Institude of PLA, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
Co-first authors
*Corresponding author)
Abstract:
Objective To compare the differences of dialysis complications and tolerability between nocturnal hemodialysis (NHD) and conventional hemodialysis (CHD) patients. Methods Seventy-two NHD and 72 CHD patients from Changzheng Hospital of Second Military Medical University were enrolled in this study. The clinical data were collected and the postdialysis recovery time was recorded. The complications including intradialytic hypotension, postdialytic fatigue, itching, muscle spasms, dizziness, headache, loss of appetite, nausea, vomiting, and sleep disorders, and the mental pressure and daily life (fear of death, worrying about equipment failure, losing freedom, and failing to work) were all investigated using a questionnaire. Results Patients in the NHD group had significantly shortened postdialysis recovery time (P<0.01) and significantly less complications (intradialytic hypotension, postdialytic fatigue, itching, dizziness, headache, loss of appetite, nausea and vomiting) than those in the CHD group (P<0.05, P<0.01). The number of patients who lost freedom significantly was decreased (P<0.01), but the number of patients worrying about equipment failure was significantly increased (P<0.01). Conclusion The NHD patients have less complications associated with hemodialysis than CHD patients, and they also have improved tolerance to maintenance hemodialysis.
Key words:  renal dialysis  nocturnal hemodialysis  conventional hemodialysis  dialysis complications  tolerance