探讨血液透析联合灌流对维持性血液透析患者睡眠状况的影响

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1、探讨血液透析联合灌流对维持性血液透析患者睡眠状况的影响张帆1(通讯作者)刘冬容2(1.四川省乐山市人民医院血液净化室四川乐山614000)(2.四川省乐山市屮区人民医院血液净化室四川乐山614000)【摘要】目的：探讨血液透析联合灌流对维持性血液透析患者睡眠的状况的影响。方法：将2012年3月-2014年12月我科收治的78例慢性肾衰需要行血液透析患者，随机分为对照组和实验组，每组39例，两组均给予常规血液透析治疗，实验组在此基础上给予血液灌流治疗，分析其睡眠质量状况的改善，评价标准为匹兹售睡眠质量指数(PSQI)。结果：对照组治疗前后PSQ

2、I各因子得分及PSQI总得分未见有显著改变；而实验组治疗后的PSQI各因子得分及PSQI总得分均显著低于治疗前，其差异均有统计学意义(P<0.05),且与对照组治疗后水平相比也有显著差异(P<0.05)o结论：血液透析联合灌流可明显改善维持性血液透析患者的睡眠质量，提高患者生活质量，减轻并发症，降低死亡率，延长寿命，血液透析联合灌流，操作简便，病人易于接受，值得临床上推广应用。【关键词】血液透析；血液灌流；睡眠质量；改善【中图分类号】R338.63【文献标识码】B【文章编号】1003-5028(2015)8-0655-02Toin

3、vestigatetheinfluenceofhemodialysisincombinationwithhemoperfusiononthesleepqualityofpatientsonmaintenancehemodialysisZhangfanlLiudong-rong2(1.DepartmentofHemodialysisRoom,thePeople'sHospitalofleshan,sichuan614000,China)(2.DepartmentofHemodialysisRoom,DistrictofleshanCityPeo

4、ple'sHospital,sichuan614000,China)[Abstract]Objective:Toinvestigatetheinfluenceofhemodialysisincombinationwithhemoperfusiononthesleepqualityofpatientsonmaintenancehemodialysis.Methods:Atotalof78casesofpatientswithchronicrenalfailureinneedofhemodialysiswhowereadmittedtohospi

5、talfromMarch2012toDecember2014wererandomlydividedintothecontrolgroup(n=39)andtheexperimentalgroup(n=39).Twogroupsweregivenconventionalhemodialysisfortreatment.Inaddition,theexperimentalgroupwasalsogivenhemoperfusion.TheimprovementinthesleepqualitywasanalyzedusingPittsburghS

6、leepQualityIndex(PSQI)astheevaluationstandard.Results:TherewerenosignificantchangesinPSQIfactorscoresandtotalPSQIscorebeforeandaftertreatmentinthecontrolgroup.PSQIfactorscoresandtotalPSQIscoreaftertreatmentweresignificantlylowerthanthosebeforetreatmentintheexperimentalgroup

7、,andthedifferenceswerestatisticallysignificant(P<0.05),whichwerealsostatisticallysignificantcomparedwiththestandardsaftertreatmentinthecontrolgroup(P<0.05).Conclusion:Hemodialysisincombinationwithhemoperfusioncanobviouslyimprovethesleepqualityofpatientsonmaintenancehe

8、modialysis,improvethequalityoflife,relievethecomplications,reducethemortality,ande