血液透析患者便秘情况调查与临床相关性研究

Investigation of constipation condition and its related clinical factors in hemodialysis patients

目的了解维持性血液透析患者便秘发生情况,探讨其影响因素及对生活质量的影响。方法采用自行设计的便秘调查表和肾脏疾病生活质量简表对本中心行维持性血液透析的133例患者进行横断面调查,了解便秘的发生率和生活质量。结果本中心维持性血液透析患者便秘73例(54.89%),其中轻度便秘22例(30.14%),中度便秘47(64.38%),重度便秘4(5.48%)。原发病、治疗方式、透析年限均是其影响因素,差异具有统计学意义(P<0.05)。便秘对维持性血液透析患者生活质量存在影响(P<0.05)。结论维持性血液透析患者便秘发生率较高,多为中度便秘,对生活质量具有一定影响。

Objective To understand the constipation in patients on maintenance hemodialysis（MHD）,and to discuss its related factors and their impacts on quality of life. Methods To understand the incidence of constipation and quality of life, we conducted a cross-sectional survey in 133 MHD patients using self-designed questionnaire of constipation and quality of life of kidney disease profiles. Results Constipation occurred in 73（54.89%） MHD patients, in whom mild, moderate and severe constipation were present in 22（30.14%）, 47（64.38%）, and 4（5.48%） patients, respectively. Primary disease, treatment modality, and dialysis vintage were the influencing factors for constipation（P〈0.05）. Constipation Had effects on quality of life in MHD patients（P〈0.05）. Conclusion Constipation is frequently found in MHD patients. Most of them had moderate constipation. Constipation affects in a certain degree on quality of life.