不同干预方式在老年维持性血液透析患者便秘的应用效果

Outcomes of different intervention methods for constipation in elderly patients undergoing maintenance hemodialysis

目的:探讨不同干预方式在老年维持性血液透析患者便秘的应用效果。方法:将120例老年维持性血液透析患者随机分为A组(n=40)、B组(n=40)、C组(n=40),A组采用膳食纤维组件+益生菌组件,B组采用个性化粗纤维营养膳食,C组采用腹部按摩+穴位按摩,观察3组患者干预4周后临床效果、生活质量评分、检验指标等差异。结果:A组有效率(90.6%)高于C组(61.5%)(P<0.05);A组胃肠道生活质量评分、白蛋白高于B、C组(P<0.05),而排便困难评分、排便时间评分、频率评分、肌酐低于B、C组(P<0.05)。结论:膳食纤维组件+益生菌组件治疗老年维持性血液透析患者便秘临床效果较好,能有效改善患者症状评分,提高生活质量,提升透析效果。

Objective:To assess the effect of different intervention methods on constipation in elderly patients undergoing maintenance hemodialysis.Methods:One hundred and twenty elderly patients undergoing maintenance hemodialysis in our hospital were included,and randomly allocated to group A,B and C(n=40 for each group).Patients in group A were given dietary fiber components+probiotic components,and those in group B were recommended with tailored crude fiber nutrition diet.Patients in group C received abdominal massage+acupoint massage.The three groups were observed on the differences in clinical effects,scores on quality of life and changes of laboratory indicators 4 weeks after intervention.Results:The effective rate was higher in group A than in group C(90.6%vs.61.5%)after intervention(P<0.05),and the scoring on Gastrointestinal Qality of Life Inde and albumin level were higher in group A than in group B and C(P<0.05).However,the scores on defecation difficulty,defecation time and frequencies as well as creatinine level were lower in patients in group A than in those in group B and group C(P<0.05).Conclusion:The regimen of dietary fiber+probiotic components can produce better clinical effect on relieving constipation,boost the quality of life and improve the dialysis efficacy in elderly patients undergoing maintenance hemodialysis.