肾移植与血液透析患者生活质量比较

Life Quality Comparison between Kidney Transplantation Patients and Renal Dialysis Patients

目的 :比较血液透析与肾移植患者生活质量。方法 :对 2 0 0 2年 5月～ 2 0 0 5年 9月佛山市第一人民医院血透中心抽取6 5例血透 (血透组 )和 4 3例肾移植 (肾移植组 ) ,应用SF - 36量表 (theMos 36 -itemshortformhealthsurvey)评价健康相关生活质量 8个方面 ,由医学生分别对血透组 ,肾移植前 10d和肾移植后 6～ 12个月进行自评表式调查 ,(结果进行统计分析比较。结果 :血透组SF - 36量表PF、RP、BP、GH、VT、SF、RE和MH8个维度得分分别为 :6 1.0 3± 17.0 9、13.73± 2 7.5 4、6 4 .6 8± 15 .88、2 7.5 5± 14 .16、2 9..39± 18..30、5 5 .0 5± 19.6 2、5 3..9± 4 6 .83、6 5 .0 2± 17.4 0 ;肾移植组 (6～ 12个月 )SF - 36量表PF、RP、BP、GH、VT、SF、RE和MH8个维度分别为 78.82± 18.79、19.72± 2 9.0 4、72 .72± 16 .72、31.87± 16 .6 8、4 5 .87± 19.98、5 9.82± 2 0 .4 5、6 1.0 2± 4 3.2 7、6 7.87± 18.39,两者之间各维度有显著差异 (P <0 .0 1)。肾移植组生活质量明显高于血透组 ,同时肾移植前 10dSF - 36表PF、RP、BP、GH、VT、SF、RE和MH分别为 6 2 .5 4± 17.0 0、15 .6 2± 2 3.4 0、6 2 .78± 14 .75、2 6 .5 0± 14 .0 2、36 .72± 19.0 3、5 3.4 5± 17.0 6、5 3.80± 4 5 .

Objective: To compare the life quality of kidney transplantation patients and renal dialysis patients. Methods:Comparison was done on 65 cases of renal dialysis patients and 43 cases of kidney transplantation patients treated in our hospital during May 2002and September2003.Self-evaluation questionnaire was employed to estimate patient's life quality on eight aspects for renal dialysis group and kidney transplantation group 10 days before transplantation and 6～12 months after. Results Were statistically analyzed and compared. Results: For renal dialysis group the PE,RP,BP,GH,VT,SF,RE and MH were 61.03± 17.09,13.76±27.54, 64.68±15.88, 27.55±14.16, 29.39±18.30,55.05±19.62,53.9±46.83,65.02±17.40, while those for kidney transplantation group 6～12 months after kidney transplantation were 78.82±18.79, 19.72±29.04,72.72±16.72, 31.87±16.68, 45.87±19.98, 59.82±20.45, 61.02±43.27, 67.87±18.39. There was significant difference between these two groups(P<0.01) which indicates that the patients' life quality in kidney transplantation group is obviously higher. Meanwhile the PE,RP,BP,GH,VT,SF,RE and MH for kidney transplantation group 10 days before kidney transplantation is 62.54±17.00,15.62±23.40,62.78±14.75,26.50±14.02,36.72±19.03,53.45±17.06,53.80±45.62,63.87±16.30.Compared with that after the transplantation, there was significant difference(P<0.01). Conclusion: The life quality of kidney transplantation patients was much higher than that of renal dialysis patients. That's why patients prefer kidney transplantation. Kidney transplantation makes the vegetative nerve system function return normal, brings BUN and Cr normal or nearly normal rapidly and keeps serum pituitary-sex hormones normal. All these are related to the elevation of patients' life quality.