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康复指导对慢性肾功能衰竭患者预后的影响

Effects of rehabilitation indications on prognosis of chronic renal failure patients
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摘要 目的:观察康复指导对慢性肾功能衰竭(CRF)患者的疗效,并探讨其对CRF相关指标及生活质量的影响。方法:155例CRF患者随机分为治疗组80例(临床治疗结合康复指导)和对照组75例(临床治疗)。治疗前及治疗0.5a后采用症状自评量表(SCL-90)及CRF生活质量量表进行疗效评定,并在治疗前后分别测量收缩压(pSB)、舒张压(pDB)、血肌酐(Scr)、尿素氮(BUN)、尿量(VU)、血红蛋白(Hb)等指标。结果:与对照组比较,治疗组治疗后心理功能及生活质量明显改善(P<0.05),Scr、BUN、pSB、pDB均下降(P<0.05),VU增多(P<0.05),而Hb无改变(P>0.05)。结论:对CRF患者采用康复指导综合治疗,有利于改善其心理状态、降低血压、改善肾功能,提高生活质量。 Aim : To investigate the effect of rehabilitation indications on prognosis of chronic renal failure (CRF) patients. Methods: A total of 155 C RF patients were allocated into treatment group(80 cases) and control group(75 cases) randomly. The therapeutic effects were evaluated by means of Symptom Check List-90 (SCL-90) and the questionnaire of qulity of life (QOL) for patients with CRF. The Scr, BUN, PSB, PDB, urine volume,and Hb before and O. 5 year after treatment were determined. Results: Compared with the control group, the psychological capability and the QOL in treat- ment group were improved ( P 〈 0. 05 ). Scr, BUN, PsB, PDB decreased significantly ( P 〈 0. 05 ) , urine volume increased significantly (P 〈 0. 05 ) ,but Hb had no statistical changes (P 〉 0. 05 ). Conclusion: Rehabilitation indication is helpful to improve the psychology, decrease BP, improve renal function and the QOL of patients with CRF.
出处 《郑州大学学报(医学版)》 CAS 北大核心 2006年第5期961-963,共3页 Journal of Zhengzhou University(Medical Sciences)
关键词 康复指导 慢性肾衰 预后 rehabilitation indication chronic renal failure prognosis
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