[1]梁小英,董世攀,黄兰怡,等.维持性血液透析患者透析后疲劳与中医体质及其影响因素分析[J].医学信息,2024,37(07):57-61.[doi:10.3969/j.issn.1006-1959.2024.07.010]
　LIANG Xiao-ying,DONG Shi-pan,HUANG Lan-yi,et al.Analysis of Postdialysis Fatigue and TCM Constitution and its Influencing Factors in Patients with Maintenance Hemodialysis[J].Journal of Medical Information,2024,37(07):57-61.[doi:10.3969/j.issn.1006-1959.2024.07.010]
点击复制

维持性血液透析患者透析后疲劳与中医体质及其影响因素分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年07期
页码:
57-61
栏目:
公共卫生信息学
出版日期:
2024-04-01

文章信息/Info

Title:
Analysis of Postdialysis Fatigue and TCM Constitution and its Influencing Factors in Patients with Maintenance Hemodialysis
文章编号:
1006-1959（2024）07-0057-05
作者:
梁小英; 董世攀; 黄兰怡; 等
（1.广西中医药大学护理学院，广西 南宁 530001；2.广西中医药大学第一附属医院护理部，广西 南宁 530023）
Author(s):
LIANG Xiao-ying; DONG Shi-pan; HUANG Lan-yi; et al.
(1.College of Nursing,Guangxi University of Chinese Medicine,Nanning 530001,Guangxi,China;2.Nursing Department of the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,Guangxi,China)
关键词:
维持性血液透析; 透析后疲劳; 中医体质
Keywords:
Maintenance hemodialysis; Postdialysis fatigue; TCM constitution
分类号:
R459.5；R22
DOI:
10.3969/j.issn.1006-1959.2024.07.010
文献标志码:
A
摘要:
目的 分析维持性血液透析（MHD）患者透析后疲劳与中医体质及其影响因素的相关性。方法 以2022年2月-9月广西中医药大学第一附属医院行MHD治疗的206例患者为观察对象，分析中医体质及透析后疲劳情况，另比较不同中医体质患者的疲劳程度得分，采用多因素logistic回归分析MHD患者透析后疲劳的影响因素，采用Spearman相关性分析MHD患者透析后疲劳与其影响因素的相关性。结果 透析后疲劳中医体质得分由高至低依次为阳虚质＞气虚质＞血瘀质＞阴虚质＞痰湿质＞湿热质＞气郁质＞特禀质（P＜0.05）。单因素分析显示，不同疲劳程度患者的性别、年龄分组、工作状况、血红蛋白、血清白蛋白水平比较，差异有统计学意义（P＜0.05）；多因素Logistic回归分析显示，年龄、血红蛋白指标是影响MHD患者透析后疲劳程度的危险因素（P＜0.05）。Spearman相关性分析显示，MHD患者透析后疲劳程度与年龄、透析时间呈正相关（P＜0.05），MHD患者透析后疲劳程度与血红蛋白指标呈负相关（P＜0.05）。结论 不同中医体质MHD患者透析后疲劳程度存在较大差异，且患者透析后疲劳程度与年龄、透析时间、血红蛋白指标密切相关。
Abstract:
Objective To analyze the correlation between postdialysis fatigue and TCM constitution and its influencing factors in patients with maintenance hemodialysis (MHD).Methods From February to September 2022, 206 patients who underwent MHD treatment in the First Affiliated Hospital of Guangxi University of Chinese Medicine were selected as the observation objects. The TCM constitution and post-dialysis fatigue were analyzed. The fatigue scores of patients with different TCM constitutions were compared. Multivariate logistic regression was used to analyze the influencing factors of post-dialysis fatigue in MHD patients. Spearman correlation was used to analyze the correlation between post-dialysis fatigue and its influencing factors in MHD patients.Results The scores of TCM constitution of postdialysis fatigue from high to low were yang deficiency>qi deficiency>blood stasis>yin deficiency>phlegm-damp> damp heat>qi stagnation>special intrinsic quality (P<0.05). Univariate analysis showed that there were statistically significant differences in gender, age group, working status, hemoglobin and serum albumin levels among patients with different degrees of fatigue (P<0.05). Multivariate Logistic regression analysis showed that age and hemoglobin index were risk factors affecting the degree of postdialysis fatigue in MHD patients (P<0.05). Spearman correlation analysis showed that the degree of postdialysis fatigue in MHD patients was positively correlated with age and dialysis time (P<0.05), and the degree of postdialysis fatigue in MHD patients was negatively correlated with hemoglobin index (P<0.05).Conclusion There are great differences in the degree of postdialysis fatigue in MHD patients with different TCM constitutions, and the degree of postdialysis fatigue is closely related to age, dialysis time and hemoglobin index.

参考文献/References:

[1]崔博宁,赵艳,李秀娟,等.维持性血液透析患者睡眠质量的影响因素及与氧化应激水平、生活质量和疲乏状况的关系研究[J].现代生物医学进展,2022,22(19):3650-3654.[2]姚志,孙鲁英,赵宗江,等.维持性血液透析患者自体动静脉内瘘失功的影响因素、风险预测及中医证候分布[J].现代中西医结合杂志,2022,31(15):2058-2063.[3]吕文梅,陈鹏宇,曾英,等.维持性血液透析患者自我调节疲劳现状及影响因素分析[J].华西医学,2022,37(7):1022-1026.[4]黄秀芝.围绝经期女性维持性血液透析患者的疲乏状况及影响因素分析[J].中国妇幼保健,2020,35(5):883-885.[5]姜欣,刘书馨,王志宏,等.维持性血液透析患者透析后疲劳恢复时间及影响因素的研究[J].中国中西医结合肾病杂志,2022,23(2):145-148.[6]王维平,何萍,姜璐,等.单中心血液透析患者透析后疲劳状态及影响因素[J].中国中西医结合肾病杂志,2021,22(9):808-811.[7]张荣东,赖子建,林莺,等.268例糖尿病肾病Ⅲ期患者中医体质分布特点及其与中医证候的相关性研究[J].中医药学报,2019,47(3):91-94.[8]柳璇,王琦.《中医体质分类与判定》标准修改建议及分析[J].北京中医药大学学报,2013,36(5):300-304.[9]Kodama H,Togari T,Konno Y,et al.A new assessment scale for post-dialysis fatigue in hemodialysis patients[J].Ren Replace Ther,2020,1:6.[10]侯瑞,宋明芬,亢俊俊,等.维持性血液透析患者疲乏影响因素及其与心理弹性、希望之间的相关性分析[J].中华全科医学,2021,19(2):266-269.[11]曾维玲,栾中佼,吴私,等.维持性血液透析患者透析后疲劳的影响因素分析[J].中国医科大学学报,2020,49(10):943-948.[12]熊洁,张成亮,钱晓灵,等.健脾和胃操对血液透析患者营养状况和疲乏状况的影响研究[J].现代中西医结合杂志,2022,31(11):1587-1591.[13]吴诗欣,赖瑜,韦芳宁.慢性肾脏病5期非透析患者低T3综合征、中医体质与左心室肥厚的相关性[J].广州中医药大学学报,2023,40(1):1-8.[14]李靖娟,陈国姝,潘思敏,等.维持性血液透析患者的疲乏现状及影响因素[J].昆明医科大学学报,2019,40(1):48-52.[15]申雪莹,刘春娟.坐式八段锦锻炼对维持性血液透析患者心理状态、疲乏症状及生活质量的影响[J].医学临床研究,2021,38(4):597-600.[16]余军,杨军,邱笑琼,等.早期糖尿病肾病中医体质与中医证候相关性研究[J].新中医,2021,53(12):54-57.[17]殷贵兰,傅荣,叶然.维持性血液透析病人疲乏状况及其影响因素探讨[J].实用老年医学,2018,32(10):919-922.[18]王亚楠,马志芳,向晶,等.维持性血液透析患者抑郁、睡眠质量与疲乏的相关性及中介效应分析[J].中国血液净化,2019,18(5):349-351.[19]袁怀红,张颖君.女性维持性血液透析患者的疲乏状况及影响因素分析[J].中国血液净化,2018,17(10):717-719.[20]庄冰,宋宗纬,骆静,等.维持性血液透析患者的透后疲乏及相关因素分析[J].中华肾脏病杂志,2018,34(4):249-254.[21]董丽平,石元洪,童萍,等．维持性血液透析患者抑郁情绪及相关影响因素的探讨[J]．中华全科医师杂志,2018,17(2):125-129.[22]李密,潘红,谢席胜,等.维持性血液透析患者透析后疲劳现状及影响因素分析[J].西部医学,2018,30(11):1646-1648,1653.

相似文献/References:

[1]祁亚轩.不同血液净化方式对维持性血液透析患者残余肾功能影响的临床护理观察[J].医学信息,2018,31(01):167.[doi:10.3969/j.issn.1006-1959.2018.01.066]
　QI Ya-xuan.Clinical Nursing Observation on the Influence of Different Blood Purification Methods on Residual Renal Function in Maintenance Hemodialysis Patients[J].Journal of Medical Information,2018,31(07):167.[doi:10.3969/j.issn.1006-1959.2018.01.066]
[2]易丽华.运动疗法配合护理干预对维持性血液透析患者 营养状况及生活质量的影响[J].医学信息,2018,31(16):175.[doi:10.3969/j.issn.1006-1959.2018.16.056]
　YI Li-hua.Effect of Exercise Therapy Combined with Nursing Intervention on Nutritional Status and Quality of Life in Maintenance Hemodialysis Patients[J].Journal of Medical Information,2018,31(07):175.[doi:10.3969/j.issn.1006-1959.2018.16.056]
[3]刘 艳.三段式康复教育模式在维持性血液透析患者中的应用效果[J].医学信息,2019,32(20):190.[doi:10.3969/j.issn.1006-1959.2019.20.062]
　LIU Yan.Application Effect of Three-stage Rehabilitation Education Mode in Maintenance Hemodialysis Patients[J].Journal of Medical Information,2019,32(07):190.[doi:10.3969/j.issn.1006-1959.2019.20.062]
[4]丘宝珍.碳酸镧治疗维持性血液透析患者高磷血症的疗效[J].医学信息,2019,32(24):148.[doi:10.3969/j.issn.1006-1959.2019.24.053]
　QIU Bao-zhen.Effect of Lanthanum Carbonate on Hyperphosphatemia in Patients with Maintenance Hemodialysis[J].Journal of Medical Information,2019,32(07):148.[doi:10.3969/j.issn.1006-1959.2019.24.053]
[5]陈爱梅.不同维持性血液透析效果的糖尿病肾病患者营养评估及个性化饮食护理[J].医学信息,2019,32(24):177.[doi:10.3969/j.issn.1006-1959.2019.24.066]
　CHEN Ai-mei.Evaluation of Nutritional Status and Personalized Diet Nursing for Diabetic Nephropathy Patientswith Different Maintenance Hemodialysis Effects[J].Journal of Medical Information,2019,32(07):177.[doi:10.3969/j.issn.1006-1959.2019.24.066]
[6]彭 金,肖三法,袁海花.血容量监测联合米多君治疗维持性血液透析低血压患者的临床研究[J].医学信息,2021,34(23):50.[doi:10.3969/j.issn.1006-1959.2021.23.014]
　PENG Jin,XIAO San-fa,YUAN Hai-hua.Clinical Study of Blood Volume Monitoring Combined with Midodrine in Patients with Maintenance Hemodialysis Hypotension[J].Journal of Medical Information,2021,34(07):50.[doi:10.3969/j.issn.1006-1959.2021.23.014]
[7]房 彩,孙蓓蓓,姚 博,等.KDQOL-SF量表评估社区血透中心维持性血液透析患者健康相关生活质量的意义[J].医学信息,2020,33(11):95.[doi:10.3969/j.issn.1006-1959.2020.11.027]
　FANG Cai,SUN Bei-bei,YAO Bo,et al.Significance of KDQOL-SF Scale to Evaluate the Health-related Quality of Life of Maintenance Hemodialysis Patients in Community Hemodialysis Centers[J].Journal of Medical Information,2020,33(07):95.[doi:10.3969/j.issn.1006-1959.2020.11.027]
[8]梁宏丽.基于Omaha系统的延续性护理模式对维持性血液透析患者行为依从性和钙磷代谢的影响[J].医学信息,2020,33(23):164.[doi:10.3969/j.issn.1006-1959.2020.23.048]
　LIANG Hong-li.Influence of Omaha System-based Continuous Nursing Model on Behavior Compliance and Calcium and Phosphorus Metabolism of Maintenance Hemodialysis Patients[J].Journal of Medical Information,2020,33(07):164.[doi:10.3969/j.issn.1006-1959.2020.23.048]
[9]王利芳,尹彬洁,郭佳玉,等.老年血液透析患者认知衰弱现状及其影响因素分析[J].医学信息,2021,34(03):142.[doi:10.3969/j.issn.1006-1959.2021.03.040]
　WANG Li-fang,YIN Bin-jie,GUO Jia-yu,et al.Analysis of the Current Status of Cognitive Weakness and Its Influencing Factors in Elderly Hemodialysis Patients[J].Journal of Medical Information,2021,34(07):142.[doi:10.3969/j.issn.1006-1959.2021.03.040]
[10]张月倩.维持性血液透析患者心脏瓣膜钙化的评价及影响因素研究[J].医学信息,2023,36(03):125.[doi:10.3969/j.issn.1006-1959.2023.03.025]
　ZHANG Yue-qian.Evaluation and Influencing Factors of Cardiac Valve Calcification in Maintenance Hemodialysis Patients[J].Journal of Medical Information,2023,36(07):125.[doi:10.3969/j.issn.1006-1959.2023.03.025]

更新日期/Last Update: 1900-01-01