中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (05): 360-363.doi: 10.3969/j.issn.1671-4091.2024.05.009

• 综述 • 上一篇    下一篇

维持性血液透析患者认知障碍与日常生活活动能力下降的研究进展

李 娜    蒋红樱    白彝华    张 凤    周 欢   

  1. 650000 昆明，1昆明医科大学第二附属医院肾脏内科
    655000 曲靖，2曲靖市陆良县第一人民医院重症医学科
  • 收稿日期:2024-02-01 修回日期:2024-02-24 出版日期:2024-05-12 发布日期:2024-05-12
  • 通讯作者: 蒋红樱 E-mail:1627248965@qq.com
  • 基金资助:
    云南省兴滇英才支持计划名医项目(YNWR-MY-2019-075)；青年人才项目(YNWR-QNBJ-2020-269)

Progresses in the study of cognitive impairment and decreased activities of daily living in maintenance hemodialysis patients

LI Na, JIANG Hong-ying, BAI Yi-hua, ZHANG Feng, ZHOU Huan   

  1. Department of Nephrology, The Second Affiliated Hospital of Kunming Medical University, Kunming 650000, China;  2Department of Critical Care Medicine, Qujing Luliang County First People's Hospital, Qujing 655000, China
  • Received:2024-02-01 Revised:2024-02-24 Online:2024-05-12 Published:2024-05-12
  • Contact: 650000 昆明，1昆明医科大学第二附属医医院肾脏内科 E-mail:1627248965@qq.com

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摘要： 维持性血液透析(maintenance hemodialysis，MHD)是治疗和延长终末期肾病患者生命的重要手段之一，认知障碍(cognitive impairment，CI)是MHD患者一种常见的并发症，研究发现CI会引起MHD患者日常生活活动(activities of daily living，ADL)能力下降。目前,大部分人对MHD患者CI认识不足，对患者ADL能力丧失的关注度不够。因此，本文将基于国内外文献报道，对MHD患者CI和ADL能力现况进行分析，综述CI的发病机制及对ADL能力的影响，并通过必要的干预措施来提高患者的ADL能力。

关键词: 肾透析, 认知障碍, 日常生活活动

Abstract: Maintenance hemodialysis (MHD) is one of the important measures for treatment and longer survival of the patients with end-stage renal disease. Cognitive impairment (CI) is a common complication of MHD patients. Studies have revealed that CI causes decreased activities of daily living (ADL) in MHD patients. However, CI with decreased ADL in MHD patients are usually neglected by most people. This article analyzes the current status of CI and ADL in MHD patients based on the reports in domestic and foreign literature, and summarizes the pathogenesis of CI and its impact on ADL and the managements to increase ADL abilities in MHD patients.

Key words: Renal dialysis, Cognitive impairment, Daily living activities

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