血液透析患者的残留性尿液和沙尔科佩尼亚之间的关系
Vanessa Gomes Brandão Rodrigues1, Whesley Tanor Silva2, Ana Caiane Rocha da Silva3
1Programa de Pós-Graduação em Reabilitação e Desempenho Funcional (Post-graduate program in Rehabilitation and Functional Performance), Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rodovia MGT 367 - Km 583, nº 5000, Alto da Jacuba, Diamantina, Minas Gerais, Brazil; Faculdade de Medicina (Faculty of Medicine), Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rodovia MGT 367 - Km 583, nº 5000, Alto da Jacuba, Diamantina, Minas Gerais, Brazil; Unidade de Hemodiálise do Hospital Santa Casa de Caridade de Diamantina (Hemodialysis Unit of the Diamantina Santa Casa de Caridade Hospital), Rua da Caridade Diamantina 106, Diamantina, Minas Gerais, Brazil.
患有慢性病 (CKD) 且不产生余尿的血液透析患者面临更高的肉症风险和功能性能降低的风险. 这强调了监测透析患者功能的重要性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 老年病的医生 老年病的医生
- 物理疗法物理治疗
背景情况:
- 慢性病 (CKD) 影响全球数以百万计的人,往往需要血液透析.
- 肉,肌肉质量和力量的损失,是CKD患者的常见并发症.
- 剩余尿液,即尿液的产生,可能在透析患者的肌肉健康维持方面发挥作用.
研究的目的:
- 为了研究血液透析患者缺乏残留利尿和肉症之间的关联.
- 为了确定尿量不足是否与肌肉质量,力量和身体功能减少有关.
主要方法:
- 一项涉及92名血液透析患者的横截面研究.
- 通过双能辐射吸收 (DEXA) 扫描评估的肌肉质量.
- 被归类为无尿症 (≤100毫升/天尿) 或非无尿症 (>100毫升/天尿) 的患者.
- 使用短物理性能电池 (SPPB),手握强度和5次重复的坐立测试来评估功能性表现.
- 二元逻辑回归分析了无尿症和肉症,低SPPB和低肌肉强度之间的联系.
主要成果:
- 无尿症患者的肉症的概率是2.77倍,低SPPB的概率是3.55倍.
- 这些关联无论性别,年龄和透析持续时间如何,都保持显著.
- 男性的性别也独立地与3.30倍更高的肉类的风险有关.
- 没有发现残留利尿和肌肉强度之间有显著的关联.
结论:
- 血液透析患者缺少残留尿液与增加肉类的风险有关.
- 尿量不足也与该人口的功能表现较差有关.
- 这些发现强调了残留尿液在维持血液透析中CKD患者肌肉健康和功能方面的临床意义.
相关概念视频
Heart Failure Drugs: Diuretics
Dialysis
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Regulation of Water Output
Regulation of Water Intake
Factors Affecting Renal Clearance: Renal Impairment
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
Antihypertensive Drugs: Potassium-Sparing Diuretics


