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.docVIP

精品论文 参考文献 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） 　　（2.四川省乐山市中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PSQI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（Plt;0.05），且与对照组治疗后水平相比也有显著差异（Plt;0.05）。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）8-0655-02 　　To investigate the influence of hemodialysis in combination with hemoperfusion on the sleep quality of patients on maintenance hemodialysis 　　Zhang fan1 Liu dong-rong2 　　（1.Department of Hemodialysis Room, the Peoples Hospital of leshan, sichuan 614000, China） 　　（2.Department of Hemodialysis Room, District of leshan City Peoples Hospital , sichuan 614000, China) 　　【Abstract】Objective: To investigate the influence of hemodialysis in combination with hemoperfusion on the sleep quality of patients on maintenance hemodialysis.Methods: A total of 78 cases of patients with chronic renal failure in need of hemodialysis who were admitted to hospital from March 2012 to December 2014were randomly divided into the control group (n=39) and the experimental group (n=39). Two groups were given conventional hemodialysis for treatment. In addition, the experimental group was also given hemoperfusion. The improvement in the sleep quality was analyzed using Pittsburgh Sleep Quality Index (PSQI) as the evaluation standard. Results: There were no significant changes in PSQI factor scores and total PSQI score before and after treatment in the control group. PSQI factor scores and total PSQI score after treatment were significantly lower than those before treatment in the experimental group, and the differences were statistically significant (Plt;0.05), which were also statistically significant c