摘要
目的:调查维持性血液透析患者失眠发生情况及其可能相关因素。方法:采取特别问卷调查69例(男38例,女31例)维持性血液透析(MHD)患者失眠状况;同时记录他们的临床资料、生活方式和透析情况。结果:45%的患者(31例;男16例,女15例)有失眠,多表现为入睡延迟和清晨觉醒过早。失眠组中透析时间超过12个月、早上进行透析和血甲状旁腺激素(PTH)升高的患者显著高于对照组。血压和血红蛋白的情况在两组间无显著性差异。最常出现的睡眠障碍的类型是夜间易醒(92%)、入睡困难(68%)和清晨觉醒过早(61%)。结论:MHD患者失眠的发生率很高。老年患者、长期透析患者和血PTH高的患者易出现失眠。血压和血红蛋白可能对睡眠障碍无影响。
Objective： To investigate the prevalence of insomnia in maintenance hemodialysis （MHD） patients. Method： 69 MHD patients （38 males, 31 females） were surveyed by using a special questionnaire; their clinical, lifestyle and dialysis data were also recorded. Result： Forty - five percent of the patients（n = 31 ;16 males, 15 females） complained of insomnia, defined either by delayed sleep onset and/or night- time waking, and were included in the insomnia group. There was a significantly higher risk of insomnia in patients with more than 12 months on MHD, in patients with dialysis in the morning, and in patients with higher parathyroid hormone（PTH） levels. Blood pressure and hemoglobin did not differ between the groups. The most frequently recorded sleep disorders were night -time waking（ 92% ） , trouble in falling asleep （68%） and early morning waking （61% ）. Conclusion： The prevalence of insomnia in MHD patients is very high ; elderly patients, and those with longer time on dialysis and high levels of PTH are at risk of insomnia, whereas hemoglobin and blood pressure do not seem to play a critical role in determining the sleep disorder.
出处
《河北医学》
CAS
2009年第8期945-948,共4页
Hebei Medicine
关键词
血液透析
失眠
睡眠障碍
Maintenance hemodialysis
Insomnia
Sleep disorder
