Sattar Sidra, Khan Nabeel, Ahmad Farah, Adnan Farzana, Danish Syed Hasan
Final Year MBBS Student, Karachi, Pakistan.
Fourth Year MBBS Student, Karachi, Pakistan.
J Pak Med Assoc. 2016 Jun;66(6):781-8.
To assess the post-dialysis effects in normal and diabetic patients on haemodialysis.
This cross-sectional study was conducted from January to December 2013 at two hospitals in Karachi, and comprised patients receiving dialysis. Participants were selected through purposive sampling technique. SPSS 20 was used for data analysis.
Of the 150 subjects, 148(98.8%) were diabetics. Overall, 93(62%) were men and 57(38%) women. Besides, 22(14.7%) participants were having dialysis as a complication of hypertension and 128(85.3%) as a complication of diabetes. Diabetes was a comorbid condition for 148(98.7%) patients, hypertension for 139(92.7%) and cardiac diseases for 40(26.7%). Of the total, 114(76%) subjects were having dialysis thrice a week, 31(20.7%) twice and 5(3.3%) once. Post-dialysis, dizziness was present every time in 25(16.6%) patients, nausea and vomiting in 14(10%), cramps in 22(14.7%), headache in 21(14%), anxiety and depression in 16(10.7%), hunger in 43(28.7%) and itching in 30(20%).
Post-dialysis complications were common in normal and diabetic patients. Nutritional status was found to be poor among long-term dialysis-dependent diabetics.
评估正常患者和糖尿病患者血液透析后的影响。
这项横断面研究于2013年1月至12月在卡拉奇的两家医院进行，纳入接受透析的患者。通过立意抽样技术选取参与者。使用SPSS 20进行数据分析。
150名受试者中，148名（98.8%）为糖尿病患者。总体而言，93名（62%）为男性，57名（38%）为女性。此外，22名（14.7%）参与者因高血压并发症接受透析，128名（85.3%）因糖尿病并发症接受透析。148名（98.7%）患者患有糖尿病合并症，139名（92.7%）患有高血压，40名（26.7%）患有心脏病。总共114名（76%）受试者每周透析三次，31名（20.7%）每周透析两次，5名（3.3%）每周透析一次。透析后，25名（16.6%）患者每次都出现头晕，14名（10%）出现恶心和呕吐，22名（14.7%）出现痉挛，21名（14%）出现头痛，16名（10.7%）出现焦虑和抑郁，43名（28.7%）出现饥饿，30名（20%）出现瘙痒。
透析后并发症在正常患者和糖尿病患者中很常见。长期依赖透析的糖尿病患者营养状况较差。
