摘要
目的探讨血液透析患者认知功能障碍的现状及其影响因素。方法收集于2013年3月-2014年2月在我院血液透析室治疗的患者,进行认知障碍评估。采用病例-对照研究方法,分析影响血液透析患者认知功能状况的因素。结果血透患者的认知障碍发生率为59.4%。教育程度和慢性失眠能显著影响认知功能障碍的发生风险。教育程度越高,认知功能障碍的发生率越低（OR=0.51;95%CI=0.30-0.86）;有慢性失眠史的血透患者发生认知功能障碍的风险分别是无慢性失眠史的血透患者的1.98倍（OR=1.98;95%CI=1.05-3.75）。结论认知功能损害在血液透析患者中的患病率较高,其独立的危险因素为教育程度和有慢性失眠史。
To study the status and risk factors of cognitive disorder in hemodialysis patients. Methods We recruited the hemodialysis patients in our hospital during March,2013 to February,2014 and assessed their cognitive function. The case- control method was used to test the risk factors of cognitive disorder in these patients. Results The occurrence rate of cognitive disorder in these hemodialysis patients was 59. 4%. Education level and chronic insomnia significantly influenced the risk of cognitive disorder. The higher education level,the lower the incidence of cognitive dysfunction（ OR = 0. 51; 95% CI = 0. 30- 0. 86）; The patients with a history of chronic insomnia were at a1. 98 times higher risk of had（ OR = 1. 98; 95% CI = 1. 05- 3. 75） of cognitive disorder compared to those without chronic insomnia. Conclusion There is a high prevalence of cognitive disorder in hemodialysis patients. Education level and chronic insomnia are independent risk factors for cognitive disorder.
出处
《现代医院》
2015年第1期149-151,共3页
Modern Hospitals
基金
广州市荔湾区科技计划项目基金(编号:20111214051)
