中国血液净化

›› 2011, Vol. 10 ›› Issue (8): 444-446.

• 综述 • 上一篇    下一篇

终末期肾脏病患者认知受损的现状、风险因素、评估及改善措施

高小玲 周玉福   

  1. 重庆市第九人民医院
  • 收稿日期:2011-02-22 修回日期:1900-01-01 出版日期:2011-08-12 发布日期:2011-08-12
  • 通讯作者: 周玉福

  1. Department of Nephrology, the Ninth People’s Hospital, Beipei, Chongqin 400700, China
  • Received:2011-02-22 Revised:1900-01-01 Online:2011-08-12 Published:2011-08-12

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摘要：

与健康群体比较，终末期肾脏病(end-stage renal disease,ESRD)患者群体由于其高血管风险因素、透析相关生理风险因素和社会心理因素，并发认知损害的可能性很高，这严重影响了患者的治疗依从性、生活质量和存活率。本文主要介绍了ESRD患者认知损害现状、影响认知损害发生的风险因素、评估方法和改善措施，以期促进ESRD患者认知损害的相关研究以及临床诊断和治疗。

关键词: 终末期肾脏病, 认知损害, 风险因素, 评估, 改善措施

Abstract:

The prevalence of cognitive impairment is particularly higher in patients with end-stage renal disease (ESRD) than in healthy people, resulting in less treatment compliance, poorer life quality and lower survival rate in these patients. This may closely relate to the higher vascular risks, dialysis-related physiological factors and psychosocial factors. This article introduces the present situation of cognitive impairment in ESRD patient, the related risk factors causing cognitive impairment, assessment and management measures, hoping to stimulate further studies, clinical diagnosis and treatment to this problem.

Key words: Cognitive impairment, Risk factors, Assessment, management measures