增加的主观口渴是否与更大的透析间体重增加,细胞外液体和食摄入量有关?
Roohi Chhabra1, Andrew Davenport1
1UCL Department of Renal Medicine, Royal Free Hospital, University College London, London, UK.
Artificial organs
|October 30, 2023
概括
透析患者的主观口渴与年轻的年龄和更高的痛苦有关,而不是透析间体重增加或摄入量. 需要进一步的研究来理解口渴和痛苦之间的关系.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 透析研究 透析研究
- 患者报告的结果
背景情况:
- 关于主观口渴与透析间体重增加 (IDWG) 之间的关联,存在相互矛盾的证据.
- 不遵守饮食中的限制对口渴和IDWG的影响受到辩论.
- 这项研究旨在澄清透析患者自我报告的口渴,IDWG和饮食中的摄入量之间的关系.
研究的目的:
- 调查主观口渴与透析间体重增加 (IDWG) 之间的关联.
- 检查透析患者的口渴与饮食中的摄入量之间的关系.
- 探索影响主观口渴的因素,包括痛苦和患者人口统计数据.
主要方法:
- 111名透析患者完成了对口渴和痛苦温度计 (DT) 评分的视觉模拟尺度.
- 一个食物频率问卷 (SFFQ) 评估了饮食摄入量.
- 通过使用多频生物电阻分析来测量隔离式体重增加 (IDWG) 和液体体积.
主要成果:
- 主观的口渴与更高的痛苦 (DT分数) 和年轻的年龄有关.
- 在口渴和IDWG,饮食中的摄入量 (SFFQ分数) 或透析剂参数之间没有发现显著的关联.
- 较年轻的患者 (平均年龄为58.0岁) 与老年患者相比报告了更高的口渴和痛苦水平.
结论:
- 透析患者的主观口渴主要与年轻年龄和更高的痛苦水平有关.
- 在这个队列中,没有发现口渴与隔隔分析体重增加或食摄入有关.
- 该研究表明,大多数患者都遵守了饮食建议,低SFFQ分数和IDWGs表明了这一点. 渴望和痛苦之间的双向关系需要进一步研究.
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