摘要
目的分析维持性血液透析(MHD)患者透析后疲劳与中医体质及其影响因素的相关性。方法以2022年2月-9月广西中医药大学第一附属医院行MHD治疗的206例患者为观察对象,分析中医体质及透析后疲劳情况,另比较不同中医体质患者的疲劳程度得分,采用多因素logistic回归分析MHD患者透析后疲劳的影响因素,采用Spearman相关性分析MHD患者透析后疲劳与其影响因素的相关性。结果透析后疲劳中医体质得分由高至低依次为阳虚质>气虚质>血瘀质>阴虚质>痰湿质>湿热质>气郁质>特禀质(P<0.05)。单因素分析显示,不同疲劳程度患者的性别、年龄分组、工作状况、血红蛋白、血清白蛋白水平比较,差异有统计学意义(P<0.05);多因素Logistic回归分析显示,年龄、血红蛋白指标是影响MHD患者透析后疲劳程度的危险因素(P<0.05)。Spearman相关性分析显示,MHD患者透析后疲劳程度与年龄、透析时间呈正相关(P<0.05),MHD患者透析后疲劳程度与血红蛋白指标呈负相关(P<0.05)。结论不同中医体质MHD患者透析后疲劳程度存在较大差异,且患者透析后疲劳程度与年龄、透析时间、血红蛋白指标密切相关。
Objective To analyze the correlation between postdialysis fatigue and TCM constitution and its influencing factors in patients with maintenance hemodialysis(MHD).Methods From February to September 2022,206 patients who underwent MHD treatment in the First Affiliated Hospital of Guangxi University of Chinese Medicine were selected as the observation objects.The TCM constitution and post-dialysis fatigue were analyzed.The fatigue scores of patients with different TCM constitutions were compared.Multivariate logistic regression was used to analyze the influencing factors of post-dialysis fatigue in MHD patients.Spearman correlation was used to analyze the correlation between post-dialysis fatigue and its influencing factors in MHD patients.Results The scores of TCM constitution of postdialysis fatigue from high to low were yang deficiency>qi deficiency>blood stasis>yin deficiency>phlegm-damp>damp heat>qi stagnation>special intrinsic quality(P<0.05).Univariate analysis showed that there were statistically significant differences in gender,age group,working status,hemoglobin and serum albumin levels among patients with different degrees of fatigue(P<0.05).Multivariate Logistic regression analysis showed that age and hemoglobin index were risk factors affecting the degree of postdialysis fatigue in MHD patients(P<0.05).Spearman correlation analysis showed that the degree of postdialysis fatigue in MHD patients was positively correlated with age and dialysis time(P<0.05),and the degree of postdialysis fatigue in MHD patients was negatively correlated with hemoglobin index(P<0.05).Conclusion There are great differences in the degree of postdialysis fatigue in MHD patients with different TCM constitutions,and the degree of postdialysis fatigue is closely related to age,dialysis time and hemoglobin index.
作者
梁小英
董世攀
黄兰怡
赵玉玲
黄沂
LIANG Xiao-ying;DONG Shi-pan;HUANG Lan-yi;ZHAO Yu-ling;HUANG Yi(College of Nursing,Guangxi University of Chinese Medicine,Nanning 530001,Guangxi,China;Nursing Department of the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,Guangxi,China)
出处
《医学信息》
2024年第7期57-61,共5页
Journal of Medical Information
关键词
维持性血液透析
透析后疲劳
中医体质
Maintenance hemodialysis
Postdialysis fatigue
TCM constitution
