血液透析和腹膜透析患者生存率与生活质量对比分析

Survival rate and quality of life in patients taking hemodialysis versus peritoneal dialysis

目的探讨血液透析和腹膜透析患者生存率和生活质量的差异。方法选取2011年3月到2013年8月本院收治的90例终末期肾病患者,依据不同透析方式将其分为血液透析组(n=42)与腹膜透析组(n=48),观察两组生存率和生活质量。结果血液透析组、腹膜透析组5年生存率分别为30.95%、35.42%,差异无统计学意义(P>0.05)。腹膜透析组精神健康、情感职能、躯体疼痛等评分明显高于血液透析组,差异有统计学意义(均P<0.05);但两组生理机能、生理职能、社会功能、活力与健康变化评分差异无统计学意义(均P>0.05)。结论相比于血液透析,腹膜透析方式对于患者的心理与精神方面的影响较小,但两种透析方式对患者生存率的影响无显著差异。

Objective To investigate the differences in the survival rate and quality of life between patients taking hemodialysis and peritoneal dialysis. Methods 90 patients with end-stage renal disease treated at our hospital from March, 2011 to August, 2013 were selected, and were divided into a hemodialysis group (n=42) and a peritoneal dialysis group (n=48) according to the dialysis methods. The survival rates and quality of life were observed in both groups. Results The 5-year survival rate was 30.95% in the hemodialysis group, and was 35.42% in the peritoneal dialysis group (P > 0.05). The scores of mental health, emotional function, and physical pain were significantly higher in the peritoneal dialysis group than in the hemodialysis group, with statistical differences (all P < 0.05);but, there were no statistical differences in the scores of physiology, physiological function, social function, vitality, and health change between the two groups (all P > 0.05). Conclusion Compared with hemodialysis, peritoneal dialysis has less effect on the patients’ psychological and mental aspects, but the two dialysis methods have no significant difference in the influence on the survival rate.