血液透析和腹膜透析患者生存率与生活质量对比分析

摘要

目的 探讨血液透析和腹膜透析患者生存率和生活质量的差异.方法 选取2011年3月到2013年8月本院收治的90例终末期肾病患者,依据不同透析方式将其分为血液透析组(n=42)与腹膜透析组(n=48),观察两组生存率和生活质量.结果 血液透析组、腹膜透析组5年生存率分别为30.95％、35.42％,差异无统计学意义(P＞0.05).腹膜透析组精神健康、情感职能、躯体疼痛等评分明显高于血液透析组,差异有统计学意义(均P＜ 0.05);但两组生理机能、生理职能、社会功能、活力与健康变化评分差异无统计学意义(均P＞ 0.05).结论 相比于血液透析,腹膜透析方式对于患者的心理与精神方面的影响较小,但两种透析方式对患者生存率的影响无显著差异.%Objective To investigate the differences in the survival rate and quality of life between patients taking hemodialysis and peritoneal dialysis.Methods 90 patients with end-stage renal disease treated at our hospital from March,2011 to August,2013 were selected,and were divided into a hemodialysis group (n=42) and a peritoneal dialysis group (n=48) according to the dialysis methods.The survival rates and quality of life were observed in both groups.Results The 5-year survival rate was 30.95％ in the hemodialysis group,and was 35.42％ in the peritoneal dialysis group (P ＞ 0.05).The scores of mental health,emotional function,and physical pain were significantly higher in the peritoneal dialysis group than in the hemodialysis group,with statistical differences (all P ＜ 0.05);but,there were no statistical differences in the scores of physiology,physiological function,social function,vitality,and health change between the two groups (all P ＞ 0.05).Conclusion Compared with hemodialysis,peritoneal dialysis has less effect on the patients' psychological and mental aspects,but the two dialysis methods have no significant difference in the influence on the survival rate.