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镇静催眠药物对合并睡眠障碍腹膜透析患者死亡率的影响:一项回顾性队列研究。

Effect of Sedative-Hypnotic Medicines on Mortality in Peritoneal Dialysis Patients with Sleep Disorders: A Retrospective Cohort Study.

机构信息

Department of Nephrology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Key Laboratory of Nephrology, Ministry of Health and Guangdong Province, Guangzhou, China.

出版信息

Blood Purif. 2018;45(1-3):95-101. doi: 10.1159/000484922. Epub 2017 Dec 12.

DOI:10.1159/000484922
PMID:29402860
Abstract

BACKGROUND

Sedative-hypnotic medication is widely used among continuous ambulatory peritoneal dialysis (CAPD) patients with sleep disorders; however, its effect on mortality has rarely been investigated.

METHODS

Logistic regression was employed to identify factors associated with sedative-hypnotic medication, whose effect on mortality was evaluated by Cox proportional hazards models.

RESULTS

A total of 146 CAPD patients with sleep disorders were recruited, of which 46 patients (31.5%) used either benzodiazepines or zolpidem. Sedative-hypnotic medication was more frequently used by older patients and those with longer duration of CAPD therapy and there was no significant association between sedative-hypnotic medicines and all-cause mortality after adjusting for age, gender, diabetes, cardiovascular disease, and duration of CAPD.

CONCLUSION

Sedative-hypnotic medication was more often used by older patients and patients with a longer duration of CAPD. There was no association between these agents and all-cause mortality in CAPD patients with sleep disorders.

摘要

背景

镇静催眠药物在患有睡眠障碍的持续性不卧床腹膜透析(CAPD)患者中广泛使用;然而,其对死亡率的影响很少被研究。

方法

采用逻辑回归来确定与镇静催眠药物相关的因素,并用 Cox 比例风险模型评估其对死亡率的影响。

结果

共招募了 146 名患有睡眠障碍的 CAPD 患者,其中 46 名(31.5%)患者使用苯二氮䓬类或唑吡坦。镇静催眠药物在年龄较大的患者和 CAPD 治疗时间较长的患者中更常使用,在调整年龄、性别、糖尿病、心血管疾病和 CAPD 时间后,镇静催眠药物与所有原因死亡率之间没有显著关联。

结论

镇静催眠药物在年龄较大的患者和 CAPD 时间较长的患者中更常使用。在患有睡眠障碍的 CAPD 患者中,这些药物与全因死亡率之间没有关联。

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Effects of sleep disorders and sedative-hypnotic medications on health-related quality of life in dialysis patients.睡眠障碍和镇静催眠药物对透析患者健康相关生活质量的影响。
Int Urol Nephrol. 2019 Jan;51(1):163-174. doi: 10.1007/s11255-018-2018-3. Epub 2018 Nov 22.