摘要
目的探讨老年维持性血液透析(maintenance hemodialysis,MHD)病人慢性便秘的患病率及其危险因素。方法选取2023年1—6月东南大学附属中大医院血液净化中心定期随访的116例老年MHD病人为研究对象,收集病人的临床相关指标,采用便秘评分量表(constipation assessment scale,CAS)评估老年MHD病人的便秘水平。采用Pearson相关性分析探讨慢性便秘和临床指标的相关性;使用Logistic回归分析探讨老年MHD病人慢性便秘的危险因素。结果58例(50%)老年MHD病人患有慢性便秘,便秘评分与BMI、TC、TG水平以及总水量(total body water,TBW)、脂肪含量(body fat mass,BFM)和肥胖程度均呈正相关(P<0.05)。二元Logistic回归分析显示,TC、TG、TBW、BFM和肥胖程度是老年MHD病人便秘的危险因素(P<0.05)。结论老年MHD病人便秘的患病率较高,TC、TG、TBW、BFM和肥胖程度对老年MHD病人发生慢性便秘存在显著影响。
Objective To investigate the prevalence and risk factors of chronic constipation in the elderly patients receiving maintenance hemodialysis(MHD).Methods A total of 116 elderly patients undergoing MHD in Blood Purification Center of Zhongda Hospital from January to June 2023 were enrolled in this study.The constipation assessment sacle(CAS)was used to evaluate the level of constipation in the elderly patients receiving MHD.Pearson correlation analysis was used to explore the correlation between chronic constipation and related indicators.Logistic regression analysis was used to explore the risk factors for chronic constipation in the elderly patients receiving MHD.Results In this study,58(50.0%)elderly patients receiving MHD presented with constipation.Pearson correlation analysis found that the total constipation score was positively correlated with the levels of BMI,total cholesterol(TC),triglyceride(TG),total body water(TBW),body fat mass content(BFM)and obesity degree(P<0.05).Binary Logistic regression analysis showed that TC,TG,TBW,BFM and obesity degree were the independent risk factors for constipation in the elderly patients receiving MHD(P<0.05).Conclusions The prevalence of constipation in the elderly patients receiving MHD is high.The levels of TC,TG,TBW,BFM and obesity degree show significant effects on constipation in the elderly patients receiving MHD.
作者
唐芳
张凯迪
李作林
张留平
李梦婷
TANG Fang;ZHANG Kaidi;LI Zuolin;ZHANG Liuping;LI Mengting(Department of Nephrology,Zhongda Hospital Southeast University,Nanjing 210009,China)
出处
《实用老年医学》
CAS
2024年第6期553-556,共4页
Practical Geriatrics
基金
东南大学附属中大医院护理2021年立项课题(KJZC-HL-202113)。
关键词
老年人
血液透析
慢性便秘
患病率
危险因素
aged
hemodialysis
chronic constipation
prevalence rate
risk factor
