摘要
目的:探讨不同干预方式在老年维持性血液透析患者便秘的应用效果。方法:将120例老年维持性血液透析患者随机分为A组(n=40)、B组(n=40)、C组(n=40),A组采用膳食纤维组件+益生菌组件,B组采用个性化粗纤维营养膳食,C组采用腹部按摩+穴位按摩,观察3组患者干预4周后临床效果、生活质量评分、检验指标等差异。结果:A组有效率(90.6%)高于C组(61.5%)(P<0.05);A组胃肠道生活质量评分、白蛋白高于B、C组(P<0.05),而排便困难评分、排便时间评分、频率评分、肌酐低于B、C组(P<0.05)。结论:膳食纤维组件+益生菌组件治疗老年维持性血液透析患者便秘临床效果较好,能有效改善患者症状评分,提高生活质量,提升透析效果。
Objective:To assess the effect of different intervention methods on constipation in elderly patients undergoing maintenance hemodialysis.Methods:One hundred and twenty elderly patients undergoing maintenance hemodialysis in our hospital were included,and randomly allocated to group A,B and C(n=40 for each group).Patients in group A were given dietary fiber components+probiotic components,and those in group B were recommended with tailored crude fiber nutrition diet.Patients in group C received abdominal massage+acupoint massage.The three groups were observed on the differences in clinical effects,scores on quality of life and changes of laboratory indicators 4 weeks after intervention.Results:The effective rate was higher in group A than in group C(90.6%vs.61.5%)after intervention(P<0.05),and the scoring on Gastrointestinal Qality of Life Inde and albumin level were higher in group A than in group B and C(P<0.05).However,the scores on defecation difficulty,defecation time and frequencies as well as creatinine level were lower in patients in group A than in those in group B and group C(P<0.05).Conclusion:The regimen of dietary fiber+probiotic components can produce better clinical effect on relieving constipation,boost the quality of life and improve the dialysis efficacy in elderly patients undergoing maintenance hemodialysis.
作者
刘金芝
吴珊
张玉
马美玲
LIU Jinzhi;WU Shan;ZHANG Yu;MA Meiling(Department of Nephrology,Suzhou Hospital Affiliated to Anhui Medical University,Suzhou 234000,China)
出处
《皖南医学院学报》
CAS
2021年第5期505-508,共4页
Journal of Wannan Medical College
基金
宿州市科技攻关计划项目(201807)
安徽医科大学附属宿州医院院级科研基金项目(2018A023)。
关键词
老年
血液透析
维持性
便秘
临床效果
the aged
hemodialysis
maintenance
constipation
clinical effect
