Hammer J, Oesterreicher C, Hammer K, Koch U, Traindl O, Kovarik J
Klinische Abteilung für Gastroenterologie und Hepatologie, Universitätsklinik für Innere Medizin IV, Vienna, Austria.
Wien Klin Wochenschr. 1998 Apr 24;110(8):287-91.
Gastrointestinal disorders occur frequently in dialysis patients. Few data are available on the prevalence of symptoms originating from the gastrointestinal tract in this group of patients. Our aim was to obtain data on the prevalence of chronic gastrointestinal symptoms in patients undergoing hemodialysis.
All 109 patients of our dialysis unit were given a questionnaire to complete which was previously validated and designed to measure the occurrence of gastrointestinal, and some general symptoms during the preceding year. 105 subjects responded (96% response rate).
79% of dialysis patients had at least one of the following chronic gastrointestinal symptoms: Esophageal symptoms were reported in 21% abdominal pain in 28% and dyspeptic symptoms in 48%. The irritable bowel syndrome was diagnosed in 12 patients (11%), 40% had chronic constipation and 24% had chronic diarrhoea. Colonic pain was described in 20% of patients. Frequent general symptoms (such as weakness, headaches, insomnia and fatigue) were described in up to 51%, and patients were severely bothered by symptoms in up to 33% of cases.
Although patients on hemodialysis generally report a good quality of life, the prevalence of gastrointestinal symptoms and of general symptoms is high and many dialysis patients consider these symptoms to cause major impairment of daily life.
胃肠道疾病在透析患者中频繁发生。关于这类患者胃肠道症状患病率的数据很少。我们的目的是获取血液透析患者慢性胃肠道症状的患病率数据。
我们透析单元的所有109名患者都收到了一份问卷，该问卷先前经过验证，旨在测量前一年胃肠道及一些一般症状的发生情况。105名受试者做出了回应（回应率为96%）。
79%的透析患者至少有一种以下慢性胃肠道症状：21%的患者报告有食管症状，28%有腹痛，48%有消化不良症状。12名患者（11%）被诊断为肠易激综合征，40%有慢性便秘，24%有慢性腹泻。20%的患者描述有结肠疼痛。高达51%的患者经常出现一般症状（如虚弱、头痛、失眠和疲劳），高达33%的患者症状严重困扰。
尽管血液透析患者总体上报告生活质量良好，但胃肠道症状和一般症状的患病率很高，许多透析患者认为这些症状严重影响日常生活。
