尿毒症甲状旁腺切除对患者睡眠质量的影响被引量：1

Parathyroidectomy Influence on Sleep Quality on Maintenance Hemodialysis Patients

下载PDF

导出

摘要目的研究尿毒症患者甲状旁腺切除对患者睡眠质量的影响。方法选取2010年1月至2014年12月在成都铁路分局医院维持性血液透析行甲状旁腺全切加前臂移植术36例。收集手术前后血PTH、血钙、血磷、血白蛋白、碱性磷酸酶、钙磷乘积等指标,并采用匹兹堡睡眠质量指数量表进行前后两次睡眠质量评定。结果 1术后PTH、血钙、血磷、碱性磷酸酶较术前下降;2术后匹兹堡睡眠质量指数下降。结论甲状旁腺切除能改善尿毒症继发甲状旁腺功能亢进患者的睡眠质量。 Objective To assess parathyroidectomy（PTX） influence on sleep quality on maintenance hemodialysis patients（MHD） patients. Methods We studied all maintenance hemodialysis patients with total parathyroidectomy with autotransplantation（t PTX＋AT） admitted to Chengdu railway hospital from January 2010 to December 2014. To collect the date of pre-and postoperative intact parathyroid hormone（i PTH）, calcium, phosphorus, albumin, alkaline phosphatase（ALP） and the calcium-phosphorus product and to define pre-and postoperative sleep quality by Pittsburgh sleep quality index（PSQI）. Results1 Compared with preoperative date, postoperative PTH, calcium, phosphorus, and ALP had statistical significance. 2the score of postoperative PSQI decreased. Conclusion PTX elevated sleep quality of maintenance hemodialysis patients（MHD） patients with secondary hyperparathyroidism（SHPT）.

作者付彬

机构地区成都铁路分局医院肾内科

出处《中国医药指南》 2016年第20期17-18,共2页 Guide of China Medicine

关键词尿毒症睡眠质量继发性甲状旁腺功能亢进症甲状旁腺切除术 Uremia Sleep quality Secondary parathyroid function Parathyroid gland resection

分类号 R692.5 [医药卫生—泌尿科学]

引文网络
相关文献

参考文献7

1张俊,王成,汤颖,娄探奇.维持性血液透析患者睡眠质量、抑郁和生活质量相关关系的研究[J].中国血液净化,2009,8(9):508-511. 被引量：38
2刘贤臣,唐茂芹,胡蕾,王爱祯,吴宏新,赵贵芳,高春霓,李万顺.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志,1996,29(2):103-107. 被引量：3563
3庞慧华,朱铭力,王咏梅,章海芬,陆任华,周文彦,张伟明,钱家麒,倪兆慧,严玉澄.维持性血液透析患者睡眠质量和日间嗜睡状况的研究[J].中华肾脏病杂志,2010,26(10):736-741. 被引量：28
4Sabbatini M,Minale B,Crispo A,et al.Insomnia in maintenancehaemodialysis patients[J].Nephrol Dial Transplant,2002,17(Suppl 5):852-856.
5Esposito MG,Cesare CM,De Santo RM,et al.Parathyroidectomy improves the quality of sleep in maintenance hemodialysispatients with severe hyperparathyroidism[J].J Nephrol,2008,21(Suppl 13):S92-96.
6Narita I,Iguchi S,Omori K,et al.Uremic pruritus inchronic hemodialysis patients[J].J Nephrol,2008,21(2):161-165.
7Pisoni RL,Wikstr m B,Elder SJ,et al.Pruritus inhaemodialysis patients:International results from the Dialysis Outcomes and Practice Patterns Study(Dopps)[J].Nephrol Dial Transplant,2006,21(12):3495-505.

二级参考文献41

1Gul A, Aoun N, Trayner EM Jr. Why do patients sleep on dialysis[J]? Semin Dial, 2006,19:152 157.
2Iliescu EA, Coo H, McMurray MH, et al. Quality of sleep and health-related quality of life in haemodialysis patients [J]. Nephrol Dial Transplant, 2003. 18:126- 132.
3Young T, Palta M, Dempsey J, et al. The occurrence of sleepdisordered breathing among middle-aged adults[J]. N Engl J Med, 1993, 328:1230-1235.
4Elder SJ, Pisoni RL, Akizawa T, et al. Sleep quality predicts quality of life and mortality risk in haemodialysis patients: Results from the Dialysis Outcomes and Practice Patterns Study (DOPPS)[J]. Nephrol Dial Transplant, 2008, 23:998-1004.
5Lopes AA, Albert JM, Young EW, et al. Screening for depression in hemodialysis patients: Associations with diagnosis, treatment, and outcomes in the DOPPS[J]. Kidney Int, 2004,66:2047-2053.
6Lopes AA, Bragg J, Young E, et al. Depression as a predictor of mortality and hospitalization among hemodialysis patients in the United States and Europe[J]. Kidney Int, 2002, 62:199-207.
7Buysse DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research[J]. Psychiatric Research, 1989, 28:193-213.
8Shek DT. Reliability and factorial structure of the Chinese version of the Beck Depression Inventory. J Clin Psyehol, 1990, 46:35- 43.
9Ware JE Jr, Qandek B. Overview of SF-36 health survey and the international quality of life assessment (IQOLA) project [J]. J Clin Epidemiol, 1998, 51: 903-912.
10EspositoMG, CesareCM, De Santo RM, et al. Parathyroidectomy improves the quality of sleep in maintenance hemodialysis patients with severe hyperparathyroidism[J]. J Nephrol, 2008, 13:S92-S96.