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1、探討血液透析聯(lián)合灌流對維持性血液透析患者睡眠狀況的影響張帆1(通訊作者)劉冬容2(1.四川省樂山市人民醫(yī)院血液凈化室四川樂山614000)(2.四川省樂山市屮區(qū)人民醫(yī)院血液凈化室四川樂山614000)【摘要】目的：探討血液透析聯(lián)合灌流對維持性血液透析患者睡眠的狀況的影響。方法：將2012年3月-2014年12月我科收治的78例慢性腎衰需要行血液透析患者，隨機分為對照組和實驗組，每組39例，兩組均給予常規(guī)血液透析治療，實驗組在此基礎(chǔ)上給予血液灌流治療，分析其睡眠質(zhì)量狀況的改善，評價標準為匹茲售睡眠質(zhì)量指數(shù)(PSQI)。結(jié)果：對照組治療前后PSQ
2、I各因子得分及PSQI總得分未見有顯著改變；而實驗組治療后的PSQI各因子得分及PSQI總得分均顯著低于治療前，其差異均有統(tǒng)計學意義(P<0.05),且與對照組治療后水平相比也有顯著差異(P<0.05)o結(jié)論：血液透析聯(lián)合灌流可明顯改善維持性血液透析患者的睡眠質(zhì)量，提高患者生活質(zhì)量，減輕并發(fā)癥，降低死亡率，延長壽命，血液透析聯(lián)合灌流，操作簡便，病人易于接受，值得臨床上推廣應用?！娟P(guān)鍵詞】血液透析；血液灌流；睡眠質(zhì)量；改善【中圖分類號】R338.63【文獻標識碼】B【文章編號】1003-5028(2015)8-0655-02Toin
3、vestigatetheinfluenceofhemodialysisincombinationwithhemoperfusiononthesleepqualityofpatientsonmaintenancehemodialysisZhangfanlLiudong-rong2(1.DepartmentofHemodialysisRoom,thePeople'sHospitalofleshan,sichuan614000,China)(2.DepartmentofHemodialysisRoom,DistrictofleshanCityPeo
4、ple'sHospital,sichuan614000,China)[Abstract]Objective:Toinvestigatetheinfluenceofhemodialysisincombinationwithhemoperfusiononthesleepqualityofpatientsonmaintenancehemodialysis.Methods:Atotalof78casesofpatientswithchronicrenalfailureinneedofhemodialysiswhowereadmittedtohospi
5、talfromMarch2012toDecember2014wererandomlydividedintothecontrolgroup(n=39)andtheexperimentalgroup(n=39).Twogroupsweregivenconventionalhemodialysisfortreatment.Inaddition,theexperimentalgroupwasalsogivenhemoperfusion.TheimprovementinthesleepqualitywasanalyzedusingPittsburghS
6、leepQualityIndex(PSQI)astheevaluationstandard.Results:TherewerenosignificantchangesinPSQIfactorscoresandtotalPSQIscorebeforeandaftertreatmentinthecontrolgroup.PSQIfactorscoresandtotalPSQIscoreaftertreatmentweresignificantlylowerthanthosebeforetreatmentintheexperimentalgroup
7、,andthedifferenceswerestatisticallysignificant(P<0.05),whichwerealsostatisticallysignificantcomparedwiththestandardsaftertreatmentinthecontrolgroup(P<0.05).Conclusion:Hemodialysisincombinationwithhemoperfusioncanobviouslyimprovethesleepqualityofpatientsonmaintenancehe
8、modialysis,improvethequalityoflife,relievethecomplications,reducethemortality,ande
