非老年男性肾移植患者术后夜尿情况分析  

Analysis on nocturia in the non-eldly male patients after successful renal transplantation

作　　者：张鹏[1] 郝俊文[2] 俞能旺[2] 李香铁[2] 张爱民[2] 

机构地区：[1]辽宁医学院济南军区总医院研究生培养基地泌尿外科,山东济南250031 [2]济南军区总医院泌尿外科,山东济南250031

出　　处：《实用器官移植电子杂志》2014年第3期160-164,共5页Practical Journal of Organ Transplantation(Electronic Version)

摘　　要：目的调查成功肾移植术后非老年男性受者的夜尿情况及生活质量,并探讨引起夜尿症的相关危险因素及原因。方法采用自我完成的问卷调查,内容包括肾移植手术前后主要临床记录特征、国际前列腺症状评分表(IPSS)以及生活质量评分表。在本院举办肾友会时,现场发放调查问卷并指导填写。结果调查问卷共发出182份,回收120份,90份符合此次研究的条件。90例患者中,61例(67.8%)出现夜间排尿次数≥2次,76例(84.4%)对目前的生活质量表示满意。肾移植术前尿量、术前总透析时间、目前24小时液体摄入量、肾移植术后时间与夜尿次数均无统计学相关性(均P>0.05)。结论夜尿症是成功肾移植术后非老年男性受者中普遍存在的现象。本次研究表明夜尿症可能是由多种危险因素相互作用的结果,而且此类症状并未对该类人群的生活质量产生重大的不良影响。Objective To investigate the nocturia and its impact on the quality of life in the non-eldly male patients after successful renal transplantation and to explore the related risk factors and causes which led to nocturia. Methods We designed a patient-completed questionnaire according to the characteristics of clinical records,international prostate symptom score(IPSS)and quality of life score. We distributed the questionnaires and instructed them to fill in the meetingspot of kidney transplant friends. Results A total of 182 questionnaires were distributed and 120 were collected,only 90 cases meet the requirements of the study. The prevalence of nocturia(awakening at night twice or more to void)were 61 cases(67.8%). Seventy-six cases(84.4%)of all patients were satisfied with the quality of life after renal transplantation. There was no statistically correlation between urine output before transplantation(24 hours),the total time of hemodialysis before operation,24 hours fluid intake now,the total time after operation and nocturia(all P>0.05). Conclusions Nocturia was very prevalent in the non-eldly male patients after successful renal transplantation. This research demonstrated that nocturia may be caused by many risk factors interactions and did not bring an obvious adverse impact on the quality of life after successful renal transplantation.

关 键 词：肾移植 夜尿增多 夜尿症 下尿路症状 

分 类 号：R692[医药卫生—泌尿科学]