摘要
目的对腹膜透析(Peritoneal Dialysis,PD)和血液透析(Hemodialysis,HD)患者进行长期随访和应用SF-36评定量表进行生活质量的纵向观察。方法38例PD患者和43例HD患者进行42个月的随访观察,并在随访开始时及结束时应用SF-36进行生活质量评分。结果PD患者在随访结束时存活18例,死亡共11例,其中死于心血管疾病3例,猝死2例,脑血管疾病3例,周围血管病1例,恶性肿瘤2例。肾移植存活3例,转入HD仍存活3例,失访3例。HD患者在随访结束时存活28例,死亡共9例,其中死于心血管疾病2例,严重甲状旁腺功能亢进2例,营养不良1例,猝死1例,死于肾移植术2例,恶性肿瘤1例,失访3例,肾移植后存活3例。PD组及HD组的躯体综合得分均较随访开始时有显著下降,两种透析方式之间,躯体得分下降的差异无统计学意义。结论PD和HD患者死亡的主要原因是心血管疾病,透析患者随透析时间的延长,生活质量有显著下降,但透析方式对患者的生活质量无显著影响。
【Objective】 To observe the prognosis of PD and HD patients and longitudinal study of life quality by SF-36 survey. 【Methods】 Choosing 38 maintenance PD patients and 43 maintenance hemodiaiysis patients respectively in June of 2000, following up by the end of 2003, altogether 42 months. Life quality survey was clone by applying SF-36 before and after observing. 【Results】 PD patients survived 18, died 11 （dying of cardiovascular diseases 3, sudden death 2, cerebralvascular diseases 3, peripheral vascular diseases 1, tumor 2）, kidney transplantation 3, transition hemodialysis 3, lost following up 3. HD patients survived 28, died 9 （dying of cardiovascular diseases 2, severe secondary hyperparathyroidism 2, mainutrition 1, sudden death 1, kidney transplantation 2, tumor 1）, lost following up 3, kidney transplantation 3. SF-36 longitudinal observation showed that both PD patients＇ and HD patients＇ physical component scores significantly decreased with dialysis duration, but there were not significant difference between dialysis modality. 【Conclusion】 PD anti HD patients mainly died of cardiovascular diseases, objective life quality in dialysis patients decreased with their dialysis duration.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2006年第2期261-263,266,共4页
China Journal of Modern Medicine
