基础医学与临床 ›› 2023, Vol. 43 ›› Issue (5): 790-793.doi: 10.16352/j.issn.1001-6325.2023.05.0790

• 临床研究 • 上一篇    下一篇

复方α-酮酸对行腹膜透析的糖尿病患者生活质量和自我感受负担的影响

尹乐, 王丽妍, 黄红东*   

  1. 首都医科大学附属北京友谊医院 肾内科, 北京 100050
  • 收稿日期:2023-01-05 修回日期:2023-03-23 出版日期:2023-05-05 发布日期:2023-04-26
  • 通讯作者: *huanghd1126@126.com
  • 基金资助:
    国家自然科学基金青年科学基金(82003833)

Effect of compound α-ketoacid on quality of life and self-perceived burden in diabetic patients undergoing peritoneal dialysis

YIN Yue, WANG Liyan, HUANG Hongdong*   

  1. Department of Nephrology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:2023-01-05 Revised:2023-03-23 Online:2023-05-05 Published:2023-04-26
  • Contact: *huanghd1126@126.com

摘要: 目的 复方α-酮酸对行腹膜透析的糖尿病患者生活质量(QOL)和自我感受负担(SPB)的影响比较。方法 将86例在友谊医院接受连续性不卧床腹膜透析(CAPD)3个月以上的糖尿病患者分为观察组(n=44)和治疗组(n=42),口服复方 α-酮酸,两组均治疗6个月后用世界卫生组织生存质量评定量表简表(WHOQOL-BREF)评估两组患者生活质量和用自我感受负担量表(SPBS)评估自我感受负担。结果 6个月后,治疗组糖化血红蛋白为5.72%±1.03%,显著低于观察组的6.70%±1.17%。治疗组在生理领域、环境领域和总评分显著高于观察组(P<0.05),两组患者在自我感受负担方面差异无统计学意义。结论 腹膜透析同时给予α-酮酸补充剂,可显著提高患者的生活质量。

关键词: 复方α-酮酸, 腹膜透析, 糖尿病患者, 自我感受负担, 糖化血红蛋白

Abstract: Objective To compare effects of compound α-ketoacids on quality of life(QOL) and self-perceived burden(SPB) of diabetes patients undergoing peritoneal dialysis. Methods Totally 86 diabetes patients received continuous ambulatory peritoneal dialysis(CAPD) for more than 3 months in Friendship Hospital were divided into observation group (n=44) and treatment group (n=42). After 6 months of treatment, the quality of life of both groups was assessed with the World Health Organization Quality of Life Scale-brief Form Questionnaire(WHOQOL-BREF) and the self-perceived burden was assessed with the Self-perceived Burden Scale (SPBS). Results After 6 months, the glycosylated hemoglobin in the treatment group was 5.72%±1.03%, which was significantly lower than 6.70%±1.17% found in observation group. The physiological field, environmental field and total score of treatment group was significantly higher than those in observation group(P<0.05), and there was no difference was found self-perceived burden. Conclusions Simultaneous administration of peritoneal dialysis plus compound α-ketoacids supplement may significantly improve the quality of life of diabetes patients.

Key words: compound α-ketoacid, peritoneal dialysis, diabetic patients, self-perceived burden, glycosylated hemoglobin

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