慢性肾脏病患者衰弱状态评估的现状与应用价值

Current Status and Application Value of Evaluation of Frailty in Patients with Chronic Kidney Disease

慢性肾脏病(CKD)作为发病率逐渐增高的一种慢性疾病,患者往往伴随衰弱的状态,两者之间相互影响。衰弱状态评估主要涉及精神心理、营养、日常生活能力及睡眠状态,而这些方面的异常会明显影响患者对药物和非药物诊疗手段的依从性和耐受性,进而影响疗效和安全性。目前对于CKD患者衰弱评估的方法和工具较多,了解其发展现状对CKD患者衰弱状态的预后和诊疗管理具有指导价值。采用针对性的方法改善患者的衰弱状态对提高患者的生活质量和CKD的治疗效果均有积极作用。

Chronic kidney disease(CKD)is a chronic disease with increasing incidence,and it often makes patients suffer from frailty,with interaction between the two.The evaluation of frailty mainly involves mental psychology,nutrition,ability of daily life and sleep state,and these abnormalities often significantly affect the compliance and tolerance of patients to accept drug and non-drug treatments,which further affect the therapeutic efficacy and safety.At present,there are many studies on the evaluation methods and tools of CKD patients with frailty in China and overseas.It is of guiding value to understand the development status of the evaluation methods and tools for the prognosis,diagnosis and treatment management of CKD patients with frailty.Targeted individual treatment has positive effect on the improvement of life quality of the patients and the therapeutic effect of CKD.