连续性肾脏替代治疗患者营养状况与生活质量、睡眠障碍及心血管并发症的关系研究  

Relationship between Nutritional Status and Quality of Life,Sleep Disorders and Cardiovascular Complications in Continuous Renal Replacement Therapy Patient

作　　者：刘仁美 张新滨 姜蒙 LIU Ren-mei;ZHANG Xin-bin;JIANG Meng(Department of Emergency Medicine,Shandong Provincial Third Hospital,Ji'nan,Shandong,250031,China;Pre-hospital Emergency Center,Jinan Central Hospital,Ji'nan,Shandong,250013,China)

机构地区：[1]山东省立第三医院急诊医学科,山东济南250031 [2]济南市中心医院院前急救中心,山东济南250013

出　　处：《现代生物医学进展》2025年第5期878-883,共6页Progress in Modern Biomedicine

摘　　要：目的:探讨连续性肾脏替代治疗(CRRT)患者营养状况与生活质量、睡眠障碍及心血管并发症的关系。方法:选取2022年3月至2024年4月期间在我院接受CRRT的156例患者。采用主观综合营养评估量表(SGA)法评估所有患者的营养状况,根据不同营养状况将CRRT患者分为营养正常组和营养不良组。比较营养正常组和营养不良组生活质量、睡眠障碍变化及心血管并发症发生情况。结果:营养不良组的健康调查简表(SF-36)各维度评分低于营养正常组(P<0.05)。营养不良组的匹兹堡睡眠质量指数(PSQI)各维度评分高于营养正常组(P<0.05)。营养不良组心血管并发症总发生率高于营养正常组(P<0.05)。结论:CRRT患者发生营养不良后,可显著降低其生活质量,加重睡眠障碍,增加心血管并发症发生率。Objective:To investigate the relationship between nutritional status and quality of life,sleep disorders and cardiovascular complications in continuous renal replacement therapy(CRRT)patients.Meth ods:156 patients who received CRRT in our hospital from March 2022 to April 2024 were selected.The nutritional status of all patients was evaluated by subjective comprehensive nutritional assessment scale(SGA),CRRT patients were divided into normal nutrition group and malnutrition group according to different nutritional status.The changes of quality of life,sleep disorders and cardiovascular complications were compared between normal nutrition group and malnutrition group.Results:Health Survey Summary Form(SF-36)scores in each dimension in malnutrition group were lower than those in normal nutrition group(P<0.05).Pittsburgh Sleep Quality Index(PSQI)scores in each dimension in malnutrition group were higher than those in normal nutrition group(P<0.05).The total incidence of cardiovascular complications in malnutrition group was higher than that in normal nutrition group(P<0.05).Conclusion:After malnutrition in CRRT patients,which can significantly reduce the quality of life,aggravate sleep disorders,and increase the incidence of cardiovascular complications.

关 键 词：连续性肾脏替代治疗 营养状况 生活质量 睡眠障碍 心血管并发症 

分 类 号：R3[医药卫生—基础医学] R692