老年维持性血液透析病人慢性便秘患病率和危险因素研究

doi:10.3969/j.issn.1003-9198.2024.06.004

实用老年医学 ›› 2024, Vol. 38 ›› Issue (6): 553-556.doi: 10.3969/j.issn.1003-9198.2024.06.004

老年维持性血液透析病人慢性便秘患病率和危险因素研究

唐芳, 张凯迪, 李作林, 张留平, 李梦婷

210009 江苏省南京市,东南大学附属中大医院肾内科

收稿日期:2024-01-20 出版日期:2024-06-20 发布日期:2024-06-19
通讯作者: 李梦婷,Email:mengting1019@126.com
基金资助:
东南大学附属中大医院护理2021年立项课题(KJZC-HL-202113)

Prevalence and risk factors of chronic constipation in elderly patients receiving maintenance hemodialysis

TANG Fang, ZHANG Kaidi, LI Zuolin, ZHANG Liuping, LI Mengting

Department of Nephrology, Zhongda Hospital Southeast University, Nanjing 210009, China

Received:2024-01-20 Online:2024-06-20 Published:2024-06-19
Contact: LI Mengting, Email: mengting1019@126.com

摘要/Abstract

摘要： 目的探讨老年维持性血液透析(maintenance hemodialysis, MHD)病人慢性便秘的患病率及其危险因素。方法选取2023年1—6月东南大学附属中大医院血液净化中心定期随访的116例老年MHD病人为研究对象,收集病人的临床相关指标,采用便秘评分量表(constipation assessment scale, CAS)评估老年MHD病人的便秘水平。采用Pearson相关性分析探讨慢性便秘和临床指标的相关性;使用Logistic回归分析探讨老年MHD病人慢性便秘的危险因素。结果 58例(50％)老年MHD病人患有慢性便秘,便秘评分与BMI、TC、TG水平以及总水量(total body water,TBW)、脂肪含量(body fat mass,BFM)和肥胖程度均呈正相关(P<0.05)。二元Logistic回归分析显示,TC、TG、TBW、BFM和肥胖程度是老年MHD病人便秘的危险因素(P<0.05)。结论老年MHD病人便秘的患病率较高,TC、TG、TBW、BFM和肥胖程度对老年MHD病人发生慢性便秘存在显著影响。

关键词: 老年人, 血液透析, 慢性便秘, 患病率, 危险因素

Abstract: Objective To investigate the prevalence and risk factors of chronic constipation in the elderly patients receiving maintenance hemodialysis (MHD). Methods A total of 116 elderly patients undergoing MHD in Blood Purification Center of Zhongda Hospital from January to June 2023 were enrolled in this study. The constipation assessment sacle(CAS) was used to evaluate the level of constipation in the elderly patients receiving MHD.Pearson correlation analysis was used to explore the correlation between chronic constipation and related indicators. Logistic regression analysis was used to explore the risk factors for chronic constipation in the elderly patients receiving MHD. Results In this study, 58 (50.0％) elderly patients receiving MHD presented with constipation. Pearson correlation analysis found that the total constipation score was positively correlated with the levels of BMI, total cholesterol (TC), triglyceride (TG), total body water (TBW), body fat mass content (BFM) and obesity degree (P<0.05). Binary Logistic regression analysis showed that TC, TG, TBW, BFM and obesity degree were the independent risk factors for constipation in the elderly patients receiving MHD (P<0.05). Conclusions The prevalence of constipation in the elderly patients receiving MHD is high. The levels of TC, TG, TBW, BFM and obesity degree show significant effects on constipation in the elderly patients receiving MHD.

Key words: aged, hemodialysis, chronic constipation, prevalence rate, risk factor

中图分类号:

R473.5

唐芳, 张凯迪, 李作林, 张留平, 李梦婷. 老年维持性血液透析病人慢性便秘患病率和危险因素研究[J]. 实用老年医学, 2024, 38(6): 553-556.

TANG Fang, ZHANG Kaidi, LI Zuolin, ZHANG Liuping, LI Mengting. Prevalence and risk factors of chronic constipation in elderly patients receiving maintenance hemodialysis[J]. Practical Geriatrics, 2024, 38(6): 553-556.

参考文献

[1] SALARI N, GHASEMIANRAD M, AMMARI-ALLAHYARI M, et al. Global prevalence of constipation in older adults: a systematic review and meta-analysis[J]. Wien Klin Wochenschr, 2023, 135(15／16):389-398.
[2] 陈家臣, 雷子涵, 李文豪, 等. 维持性血液透析患者慢性便秘患病率调查与危险因素分析[J]. 中华肾脏病杂志, 2022, 38(10): 889-898.
[3] JUDKINS C P, WANG Y, JELINIC M, et al. Association of constipation with increased risk of hypertension and cardiovascular events in elderly Australian patients[J]. Sci Rep, 2023,13(1):10943.
[4] CHA R R, PARK S Y, CAMILLERI M, et al. Constipation in patients with chronic kidney disease[J]. J Neurogastroenterol Motil, 2023, 29(4):428-435.
[5] WARD L C. Bioelectrical impedance analysis for body composition assessment: reflections on accuracy, clinical utility, and standardisation[J]. Eur J Clin Nutr, 2019, 73(2):194-199.
[6] DU X, LIU S, JIA P, et al. Epidemiology of constipation in elderly people in parts of China: a multicenter study[J]. Front Public Health, 2022, 10:823987.
[7] KUBOZONO T, AKASAKI Y, KAWASOE S, et al. Relationship between defecation status and blood pressure level or blood pressure variability[J]. Hypertens Res,2024,47(1):128-136.
[8] SUMIDA K, MOLNAR M Z, POTUKUCHI P K, et al. Constipation and risk of death and cardiovascular events[J]. Atherosclerosis, 2019,281:114-120.
[9] MURTAGH F E, ADDINGTON-HALL J, HIGGINSON I J. The prevalence of symptoms in end-stage renal disease: a systematic review[J]. Adv Chronic Kidney Dis, 2007,14(1):82-99.
[10] ZHANG L, TANG F, WANG F, et al. The prevalence of constipation in end-stage kidney disease patients: a cross-sectional observation study[J]. Medicine: Baltimore, 2022, 101(43):e31552.
[11] ZUVELA J, TRIMINGHAM C, LE LEU R, et al. Gastrointestinal symptoms in patients receiving dialysis: a systematic review[J]. Nephrology: Carlton, 2018, 23(8):718-727.
[12] SUMIDA K, YAMAGATA K, KOVESDY C P. Constipation in CKD[J]. Kidney Int Rep,2019, 5(2):121-134.
[13] SBRIGNADELLO S, GÖBL C, TURA A. Bioelectrical impedance analysis for the assessment of body composition in sarcopenia and type 2 diabetes[J]. Nutrients, 2022, 14(9):1864.
[14] 侯国存, 甘华, 孙秀丽, 等. 人体成分对血液透析充分性的影响[J]. 中华肾脏病杂志, 2018, 34(6): 418-423.
[15] SILVEIRA E A, SANTOS A S E A C, RIBEIRO J N, et al. Prevalence of constipation in adults with obesity class II and III and associated factors[J]. BMC Gastroenterol, 2021, 21(1):217.

老年维持性血液透析病人慢性便秘患病率和危险因素研究

Prevalence and risk factors of chronic constipation in elderly patients receiving maintenance hemodialysis

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

Metrics

推荐阅读 10

[1]	丛晓飞, 李铭麟, 石春来. 老年口腔衰弱与多重用药的关系及干预策略[J]. 实用老年医学, 2024, 38(9): 872-875.
[2]	李毛毛, 张飞, 沈鑫, 李洁华. 老年人口腔衰弱与跌倒关系的研究进展[J]. 实用老年医学, 2024, 38(9): 876-879.
[3]	张飞, 李毛毛, 李铭麟, 王佳贺. 老年人口腔衰弱与抑郁症的相关性研究进展[J]. 实用老年医学, 2024, 38(9): 884-888.
[4]	李江, 邱雁, 王婷, 王丹, 虞一帆, 濮玲丽, 卜玲. 老年肺腺癌病人术前全身免疫炎症指数/血清白蛋白与临床病理特征的相关性研究[J]. 实用老年医学, 2024, 38(9): 893-896.
[5]	王振宇, 袁颖, 项英, 刘金燕, 吴海, 王萌, 徐桂芳. 老年混合型早期胃癌淋巴结转移的危险因素分析[J]. 实用老年医学, 2024, 38(9): 901-904.
[6]	戴静, 崔焱. 糖化血红蛋白变异性与老年2型糖尿病病人认知功能障碍的相关性分析[J]. 实用老年医学, 2024, 38(9): 931-935.
[7]	张星星, 张海洋, 何小菁, 鲁翔. 不同肥胖指标与老年人糖尿病患病风险的调查研究[J]. 实用老年医学, 2024, 38(9): 940-943.
[8]	倪红艳, 陈云, 张其兵, 马一鸣, 解成兰. 电针对老年病人下肢骨科手术围术期认知功能及炎症因子的影响[J]. 实用老年医学, 2024, 38(9): 944-947.
[9]	李晓敏, 李晓林, 栗杰, 吴蕾, 郝冉冉. 老年病人经肛双气囊小肠镜进镜效率及其影响因素研究[J]. 实用老年医学, 2024, 38(9): 958-961.
[10]	蔡荟萃, 陈燕, 王燕, 叶劲军, 朱钰颖. 多形式健康教育模式联合简易呼吸功能锻炼对老年肺癌放疗病人癌因性疲乏及遵医行为的影响[J]. 实用老年医学, 2024, 38(9): 968-972.
[11]	李湘, 栗萱, 田应选. 肺衰老与慢性呼吸系统疾病研究现状及进展[J]. 实用老年医学, 2024, 38(8): 761-765.
[12]	王小娇, 王宁, 崔宏, 叶童, 王晓明. 运动康复对老年轻中度慢性心力衰竭病人的疗效评价[J]. 实用老年医学, 2024, 38(8): 775-778.
[13]	郝世杰, 邹建鹏, 卫晨, 刘清江. 综合呼吸训练对老年帕金森病病人运动减少型构音障碍的影响[J]. 实用老年医学, 2024, 38(8): 783-787.
[14]	向超, 罗彩东. 心电图avL导联T波变化对老年冠心病病人冠脉狭窄程度的诊断价值[J]. 实用老年医学, 2024, 38(8): 788-791.
[15]	李慧颖, 蔡力力, 朱启伟. 血浆N末端脑钠肽前体对高龄左室肥厚病人预后的预测价值[J]. 实用老年医学, 2024, 38(8): 797-801.