Kalousová M, Tesar V, Sonka K, Sulková S, Znojová M, Jelínková E, Merta M, Bodláková B
1. interní klinika 1. lékarské fakulty a Vseobecné fakultní nemocnice, U nemocnice 2, 128 08 Praha 2, Czech Republic.
Sb Lek. 2001;102(3):395-400.
A lot of patients with end stage renal disease with the necessity of renal replacement therapy have some sleep problems. The aim of this study was to get basic information about the sleep of patients treated with continuous ambulatory peritoneal dialysis (CAPD), mainly their subjective view on their sleep, including comparison with hemodialyzed patients (HD).
All patients treated with continuous ambulatory peritoneal dialysis in two dialysis centres were given a simple questionnary containing 20 questions concerning sleep. It was filled in by all these patients--25 patients (mean age 58.1 years)--12 men and 13 women. Data obtained from 103 hemodialyzed patients from the same two-dialysis centres were used for comparison (mean age 60.4 years)--61 men and 42 women (the same questionnary).
40% of CAPD patients regard their sleep as bad. Thirty six percent of patients have problems with falling asleep, 32% awake three times or more during the night and 28% snore or have some breath problems. CAPD patients feel more frequently tired after the night (32% vs. 18.4% HD), more patients sleep during the day (64% vs. 5.15% HD) and fewer patients feel restlessness of legs (36% vs. 45.6% HD). These differences are not statistically significant.
Occurrence of sleep disorders and their characteristics in patients on CAPD is similar to that in hemodialyzed patients.
许多需要进行肾脏替代治疗的终末期肾病患者存在一些睡眠问题。本研究的目的是获取持续非卧床腹膜透析（CAPD）患者睡眠的基本信息，主要是他们对自身睡眠的主观看法，包括与血液透析患者（HD）的比较。
两个透析中心所有接受持续非卧床腹膜透析治疗的患者都收到一份包含20个关于睡眠问题的简单问卷。所有这些患者——25名患者（平均年龄58.1岁）——12名男性和13名女性填写了问卷。从同一两个透析中心的103名血液透析患者那里获得的数据（平均年龄60.4岁）——61名男性和42名女性（相同问卷）用于比较。
40%的CAPD患者认为自己睡眠不好。36%的患者存在入睡困难问题，32%的患者夜间醒来三次或更多次，28%的患者打鼾或有呼吸问题。CAPD患者夜间后更频繁感到疲劳（32%对血液透析患者的18.4%），更多患者白天睡觉（64%对血液透析患者的5.15%），更少患者感到腿部不安（36%对血液透析患者的45.6%）。这些差异无统计学意义。
CAPD患者睡眠障碍的发生率及其特征与血液透析患者相似。
