中国血液净化

中国血液净化 ›› 2025, Vol. 24 ›› Issue (01): 58-60.doi: 10.3969/j.issn.1671-4091.2025.01.012

• 综述 • 上一篇    下一篇

维持性血液透析患者日间过度嗜睡的研究进展

商正影   邹循亮   

  1. 519000 珠海，1遵义医科大学珠海校区护理学系
    519000 珠海，2遵义医科大学第五附属(珠海)医院肾内科
  • 收稿日期:2024-05-10 修回日期:2024-06-02 出版日期:2025-01-12 发布日期:2025-01-12
  • 通讯作者: 邹循亮 E-mail:zxlkid@126.com

Research progress in excessive daytime sleepiness in maintenance hemodialysis patients

SHANG Zheng-ying1  ZOU Xun-liang   

  1. Department of Nursing, Zhuhai Campus of Zunyi Medical University, Zhuhai 519000, China; 2Department of Nephrology, The Fifth Affiliated Hospital of Zunyi Medical University, Zhuhai 519000, China
  • Received:2024-05-10 Revised:2024-06-02 Online:2025-01-12 Published:2025-01-12
  • Contact: 519000 珠海，2遵义医科大学第五附属(珠海)医院肾内科 E-mail:zxlkid@126.com

PDF

4

摘要： 日间过度嗜睡(excessive daytime sleepiness，EDS)在接受维持性血液透析(maintenance hemodialysis，MHD)的患者中很常见，其可能是合并症、药物副作用、睡眠不足综合征、阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)或原发性中枢性嗜睡症的结果。未被识别和未经治疗的日间过度嗜睡与心血管疾病发病率与死亡率有关。改善日间过度嗜睡症状可延长MHD患者寿命和提高其生活质量。本文就MHD患者日间嗜睡发生的原因、评估方法、治疗进展进行综述，以期提供一个系统的方法来帮助临床工作评估和管理MHD患者EDS症状。

关键词: 维持性血液透析, 日间过度嗜睡

Abstract: Excessive daytime sleepiness (EDS) is frequently encountered in maintenance hemodialysis (MHD) patients,  probably resulting from complications, drug side effects, sleep deprivation syndrome, obstructive sleep apnea (OSA) or primary central hypersomnia. Unrecognized and untreated EDS is associated with morbidity and mortality of cardiovascular diseases. Improvement of EDS can prolong the life span and improve the quality of life of the patients. This article reviews recent progresses in the causes, evaluation methods and treatment of EDS in MHD patients, in order to provide a systematic approach for clinicians to assess and manage EDS in MHD patients.

Key words: Maintenance hemodialysis, Excessive daytime sleepiness

中图分类号: