血液透析患者便秘的研究现状
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摘要
便秘是血液透析患者最常见的消化系统症状之一,但目前血液透析患者便秘的发病机制仍不清楚。本文通过综述便秘的定义,血液透析患者常用的便秘测评工具及其发生现状、相关因素,旨在加强临床医护人员对血液透析患者便秘症状的重视,关注患者的便秘体验,以期帮助其改善便秘所带来的困扰,提高患者的生活质量。
Constipation is one of the most common digestive symptoms among hemodialysis patients.However,the pathological mechanism of constipation is still unclear.This paper reviews definition,measurement scales,prevalence and factors relating to constipation in hemodialysis patients.Healthcare professionals should pay attention to the constipation experienced by hemodialysis patients,and help improve the constipation distress and quality of life in these patients.
Constipation is one of the most common digestive symptoms among hemodialysis patients.However,the pathological mechanism of constipation is still unclear.This paper reviews definition,measurement scales,prevalence and factors relating to constipation in hemodialysis patients.Healthcare professionals should pay attention to the constipation experienced by hemodialysis patients,and help improve the constipation distress and quality of life in these patients.
引文
[1]Zhang J,Huang C,Li Y,et al.Health-related quality of life in dialysis patients with constipation:a cross-sectional study[J].Patient Prefer Adherence,2013,7(18):589-594.
[2]Carrera-Jimenez D,Miranda-Alatriste P,Atilano-Carsi X,et al.Relationship between Nutritional Status and Gastrointestinal Symptoms in Geriatric Patients with End-Stage Renal Disease on Dialysis[J].Nutrients,2018,10(4):425.
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[4]Drossman DA.The functional gastrointestinal disorders and the Rome III process[J].Gastroenterology,2006,130(5):1377-1390.
[5]Viramontes-Horner D,Marquez-Sandoval F,Martin-del-Campo F,et al.Effect of a symbiotic gel(Lactobacillus acidophilus+Bifidobacterium lactis+inulin)on presence and severity of gastrointestinal symptoms in hemodialysis patients[J].J Ren Nutr,2015,25(3):284-291.
[6]Cano AE,Neil AK,Kang JY,et al.Gastrointestinal symptoms in patients with end-stage renal disease undergoing treatment by hemodialysis or peritoneal dialysis[J].Am J Gastroenterol,2007,102(9):1990-1997.
[7]Hammer J,Oesterreicher C,Hammer K,et al.Chronic gastrointestinal symptoms in hemodialysis patients[J].Wien Klin Wochenschr,1998,110(8):287-291.
[8]Bossola M,Luciani G,Rosa F,et al.Appetite and gastrointestinal symptoms in chronic hemodialysis patients[J].J Ren Nutr,2011,21(6):448-454.
[9]Daniels G,Robinson J R,Walker C,et al.Gastrointestinal Symptoms among African Americans Undergoing Hemodialysis[J].Nephrol Nurs J,2015,42(6):539-548,549.
[10]Ramos C I,Andrade D L A,Grilli D G,et al.The shortterm effects of olive oil and flaxseed oil for the treatment of constipation in hemodialysis patients[J].J Ren Nutr,2015,25(1):50-56.
[11]Ikee R,Toyoyama T,Endo T,et al.Clinical factors associated with constipation in hemodialysis patients[J].Int Urol Nephrol,2016,48(10):1741-1742.
[12]Yasuda G,Shibata K,Takizawa T,et al.Prevalence of constipation in continuous ambulatory peritoneal dialysis patients and comparison with hemodialysis patients[J].Am J Kidney Dis,2002,39(6):1292-1299.
[13]Dong R,Guo Z Y,Ding J R,et al.Gastrointestinal symptoms:a comparison between patients undergoing peritoneal dialysis and hemodialysis[J].World J Gastroenterol,2014,20(32):11370-11375.
[14]周宏珍,梁玉婷,江霞,等.尿毒症血液透析病人胃肠道症状发生状况及其影响因素[J].护理研究,2014(25):3107-3109.
[15]苏春燕,李燕红,林可可,等.血液透析患者胃肠道症状发生情况及其相关因素分析[J].中国护理管理,2012(05):26-29.
[16]罗招芬,许秀君,陈慧仙.维持性血液透析患者便秘情况的调查研究[J].中华护理杂志,2011(09):911-913.
[17]杨玉洁,余少斌,张颖君,等.血液透析患者便秘情况调查与临床相关性研究[J].中国血液净化,2015,14(07):437-440.
[18]吴禹池,张上鹏,尹自长,等.血液透析患者便秘情况及其相关因素分析[J].中国现代医学杂志,2018(12):58-62.
[19]Lee A,Lambert K,Byrne P,et al.PREVALENCE OF CONSTI-PATION IN PATIENTS WITH ADVANCED KIDNEY DISEASE[J].JRen Care,2016,42(3):144-149.
[20]Aziz Q,Fass R,Gyawali C P,et al.Functional Esophageal Disorders[J].Gastroenterology,2016,130(5):1459-1465.··
[2]Carrera-Jimenez D,Miranda-Alatriste P,Atilano-Carsi X,et al.Relationship between Nutritional Status and Gastrointestinal Symptoms in Geriatric Patients with End-Stage Renal Disease on Dialysis[J].Nutrients,2018,10(4):425.
[3]Drossman DA.Functional Gastrointestinal Disorders:History,Pathophysiology,Clinical Features and Rome IV[J].Gastroenterology,2016,02(19):32.
[4]Drossman DA.The functional gastrointestinal disorders and the Rome III process[J].Gastroenterology,2006,130(5):1377-1390.
[5]Viramontes-Horner D,Marquez-Sandoval F,Martin-del-Campo F,et al.Effect of a symbiotic gel(Lactobacillus acidophilus+Bifidobacterium lactis+inulin)on presence and severity of gastrointestinal symptoms in hemodialysis patients[J].J Ren Nutr,2015,25(3):284-291.
[6]Cano AE,Neil AK,Kang JY,et al.Gastrointestinal symptoms in patients with end-stage renal disease undergoing treatment by hemodialysis or peritoneal dialysis[J].Am J Gastroenterol,2007,102(9):1990-1997.
[7]Hammer J,Oesterreicher C,Hammer K,et al.Chronic gastrointestinal symptoms in hemodialysis patients[J].Wien Klin Wochenschr,1998,110(8):287-291.
[8]Bossola M,Luciani G,Rosa F,et al.Appetite and gastrointestinal symptoms in chronic hemodialysis patients[J].J Ren Nutr,2011,21(6):448-454.
[9]Daniels G,Robinson J R,Walker C,et al.Gastrointestinal Symptoms among African Americans Undergoing Hemodialysis[J].Nephrol Nurs J,2015,42(6):539-548,549.
[10]Ramos C I,Andrade D L A,Grilli D G,et al.The shortterm effects of olive oil and flaxseed oil for the treatment of constipation in hemodialysis patients[J].J Ren Nutr,2015,25(1):50-56.
[11]Ikee R,Toyoyama T,Endo T,et al.Clinical factors associated with constipation in hemodialysis patients[J].Int Urol Nephrol,2016,48(10):1741-1742.
[12]Yasuda G,Shibata K,Takizawa T,et al.Prevalence of constipation in continuous ambulatory peritoneal dialysis patients and comparison with hemodialysis patients[J].Am J Kidney Dis,2002,39(6):1292-1299.
[13]Dong R,Guo Z Y,Ding J R,et al.Gastrointestinal symptoms:a comparison between patients undergoing peritoneal dialysis and hemodialysis[J].World J Gastroenterol,2014,20(32):11370-11375.
[14]周宏珍,梁玉婷,江霞,等.尿毒症血液透析病人胃肠道症状发生状况及其影响因素[J].护理研究,2014(25):3107-3109.
[15]苏春燕,李燕红,林可可,等.血液透析患者胃肠道症状发生情况及其相关因素分析[J].中国护理管理,2012(05):26-29.
[16]罗招芬,许秀君,陈慧仙.维持性血液透析患者便秘情况的调查研究[J].中华护理杂志,2011(09):911-913.
[17]杨玉洁,余少斌,张颖君,等.血液透析患者便秘情况调查与临床相关性研究[J].中国血液净化,2015,14(07):437-440.
[18]吴禹池,张上鹏,尹自长,等.血液透析患者便秘情况及其相关因素分析[J].中国现代医学杂志,2018(12):58-62.
[19]Lee A,Lambert K,Byrne P,et al.PREVALENCE OF CONSTI-PATION IN PATIENTS WITH ADVANCED KIDNEY DISEASE[J].JRen Care,2016,42(3):144-149.
[20]Aziz Q,Fass R,Gyawali C P,et al.Functional Esophageal Disorders[J].Gastroenterology,2016,130(5):1459-1465.··