摘要
目的 调查维持性血液透析患者的睡眠质量和可能的影响因素。 方法 通过问卷调查和收集临床资料相结合的方法，选取首都医科大学北京朝阳医院血液净化中心134例维持性血液透析患者进行研究。应用匹兹堡睡眠质量指数(Pittsburgh sleep quality index，PSQI)量表调查患者的睡眠质量，并根据PSQI总分值(PSQI≤5和PSQI＞5)将患者分为“睡眠质量较好”与“睡眠质量较差”2组。结果 83例(62%)患者睡眠质量较差。2组患者之间，在年龄、血红蛋白、血清白蛋白、是否吸烟方面差异存在显著性，而在性别、透析龄、血压、超率量、Kt/V值、iPTH方面差异没有显著性。结论 维持性血液透析的患者多存在睡眠质量下降的问题。睡眠质量可能与年龄、吸烟、血红蛋白和白蛋白水平有一定关系。
Abstract
Objective To investigate the sleep quality of patients on maintenance haemodialysis and to find the related factors. Methods Quality of sleep was measured using the Pittsburgh Sleep Quality Index (PSQI). One hundread and thirty four patients on maintenance haemodialysis were divided into two groups according to their score of PSQI (good sleepers PSQI≤5, poor sleepers PSQI＞5). Results Eighty-three (62%) subjects were “poor sleepers”. There were significant differences in age, cigarette smoking between the two groups, as well as in the concentration of hemoglobin and serum albumin. There were no significant difference in gender, duration of dialysis, water withdraw, blood pressure control, Kt/v and iPTH value between the two groups. Conclusion Sleep complaints are very common in hemodialysis patients. Advancing age, smoking, lower hemoglobin and serum albumin might be associated with the high rate of sleep complaints among the dialysis patients.
关键词
维持性血液透析 /
睡眠质量
Key words
Sleep quality
杜晓霞 任孝鹏.
维持性透析患者的睡眠情况调查[J]. 中国血液净化. 2006, 5(12): 832-834
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