發(fā)布時(shí)間：2018-05-16 06:27

  本文選題：老年 + 透析　； 參考：《廣東醫(yī)學(xué)》2017年17期

【摘要】：目的探究老年腎移植患者生活質(zhì)量。方法收集規(guī)律透析和腎移植隨訪患者的人口學(xué)資料及臨床資料,采用簡(jiǎn)明健康調(diào)查問(wèn)卷評(píng)估生活質(zhì)量,分別比較老年透析與老年腎移植、中青年腎移植與老年腎移植患者的生活質(zhì)量差異。結(jié)果 (1)老年透析組生活質(zhì)量各方面評(píng)分均低于老年腎移植組。其中生理機(jī)能、生理職能、精力、社會(huì)功能4個(gè)維度以及生活質(zhì)量總分兩組之間差異均有統(tǒng)計(jì)學(xué)意義(P0.05),且老年腎移植組患者的血紅蛋白、三酰甘油、尿酸、肌酐、白蛋白、鈣、磷指標(biāo)均優(yōu)于老年透析組(P0.05)。(2)在中青年與老年腎移植組生活質(zhì)量各維度得分、生活質(zhì)量總分、除白蛋白以外的各生化指標(biāo)比較中,均無(wú)統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論老年腎移植后患者的生活質(zhì)量較老年透析患者高,且其生活質(zhì)量與中青年腎移植患者相比無(wú)明顯差異。因此腎移植對(duì)于老年終末期腎臟病患者同樣值得推薦。
[Abstract]:Objective to investigate the quality of life of elderly renal transplantation patients. Methods the demographic and clinical data of patients with regular dialysis and renal transplantation were collected, and the quality of life was evaluated by simple health questionnaire. Differences in quality of life between young and middle-aged renal transplantation patients and elderly renal transplantation patients. Results 1) the scores of quality of life in the elderly dialysis group were lower than those in the elderly renal transplantation group. There were significant differences in the four dimensions of physiological function, energy, social function and total quality of life between the two groups (P 0.05). The hemoglobin, triglyceride, uric acid, creatinine, albumin, calcium in the elderly renal transplantation group were all significantly different. P index was better than that in the elderly dialysis group (P 0.05, P 0.05). There was no significant difference in the quality of life (QOL), total quality of life (QOL) and biochemical indexes (except albumin) between the middle aged and the aged renal transplantation group (P 0.05). Conclusion the quality of life of the elderly patients after renal transplantation is higher than that of the elderly dialysis patients, and there is no significant difference in the quality of life between the elderly and the young renal transplant patients. Therefore, kidney transplantation is also recommended for elderly patients with end-stage kidney disease.
【作者單位】： 佛山市第一人民醫(yī)院腎內(nèi)科;
【基金】：佛山市創(chuàng)新型城市建設(shè)科技項(xiàng)目-佛山市科技平臺(tái)(編號(hào):2013AG10008)
【分類號(hào)】：R699.2

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