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目的研究尿毒症血液透析和腹膜透析患者的生活质量及其影响因素,从而为提高尿毒症治疗效果、合理选择透析方法提供依据。方法123例尿毒症患者中血透48例,腹透75例。以肾脏病调查表、Karnofsky指数、工作情况、主观症状调查表及对治疗的满意度为衡量生活质量的指标。结果家庭透析患者生活质量显著高于住院透析患者;腹透患者在治疗满意度显著优于血透患者;糖尿病和老年患者生活质量显著较低。结论我国应大力提倡家庭透析,更多地开展腹膜透析,努力提高病人复职率。
Objective To study the quality of life and its influencing factors in patients with uremia hemodialysis and peritoneal dialysis, and to provide a basis for improving the treatment effect of uremia and choosing a proper dialysis method. Methods 123 hemodialysis patients with hemodialysis in 48 cases, 75 cases of peritoneal dialysis. To kidney disease questionnaire, Karnofsky index, work conditions, subjective symptoms questionnaire and satisfaction with the treatment for measuring the quality of life indicators. Results The quality of life of dialysis patients was significantly higher than that of hospitalized dialysis patients. The dialysis patients had significantly better treatment satisfaction than those of hemodialysis patients. The quality of life of diabetic patients and elderly patients was significantly lower. Conclusion China should vigorously promote home dialysis, carry out more peritoneal dialysis and strive to improve the rate of resuscitation.