腹膜透析与血液透析病人生活质量与营养状况的关系

[目的]比较两种透析方式的生活质量与营养状况的关系。[方法]分别对50个血透病人及46个腹透病人用短表36项(SF-36)进行生活质量的调查并用主观整体评估(SGA)分析其营养状态。[结果]两种透析方式在体力、疼痛、情感、疲乏等方面均无差别,社会功能方面腹透病人大于血透病人(P<0.001)。用SGA分析两组病人的营养状态并无差别,生活质量与营养状况成正相关关系。[结论]营养状况与透析病人的生活质量密切相关,营养状况好的透析病人其生活质量较好,而血液透析与腹膜透析病人的生活质量及营养状态无明显差别。

The Relationship Between Quality-of-life and Nutritional Status in Dialysis Patients

[Objective] To investigate the relationship between quality-of-life and nutritional status in hemodialysis and peritoneal dialysis patients. [Methods] Quality-of-life in 50 hemodialysis patients and 46 peritoneal dialysis patients was measured using short-form-36. Their nutritional status was also measured using subjective global assessment (SGA). [ Results] There were in general no differences in physical functional, body pain, emotional well-being and fatigue between the two dialysis methods except that the social function in peritoneal dialysis patients appeared to be better than that in hemodialysis patients (P< 0.001). There were no differences in nutritional status between two groups. There were significant positive correlations between nutritional status and quality-of-life. [ Conclusions ] Better nutritional status was associated with better quality-of-life, whereas dialysis modality did not seem to affect differently on patients' quality-of-life and nutritional status.