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題名 | 「對半兩色甲」表現於慢性腎衰竭血液透析患者之臨床初步觀察=Preliminary Clinical Observations of the "Half-and-half nails" in Chronic Renal Failure with Hemodialysis Patients |
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作者 | 張修誠; 謝旭榮; 戴昌隆; 黃建仁; 劉昭宏; 陳嘉聖; Chang, Hsiu-cheng; Hsieh, Hsu-jung; Tai, Chang-long; Huang, Chien-jen; Liu, Chao-hong; Chen, Chia-sheng; |
期刊 | 中華皮膚科醫學雜誌 |
出版日期 | 20030600 |
卷期 | 21:2 2003.06[民92.06] |
頁次 | 頁136-141 |
分類號 | 415.776 |
語文 | chi |
關鍵詞 | 對半兩色甲; 慢性腎衰竭; 血液透析; 指甲; 趾甲; Half-and-half nail(s); Hemodialysis; Chronic renal failure; Nail; |
中文摘要 | 我們檢查了204位慢性腎衰竭經血液透析患者(實驗組)及213位皮膚科門診患者(對照組,與實驗組年紀相仿且排除血液透析及腹膜透析者)的指(趾)甲,發現實驗組中有17位(8.3%)出現「對半兩色甲」,而對照組則無人出現這種顏色異常指(趾)甲(p<0.001)。在實驗組中,慢性腎衰竭經血液透析病史小於5年者共140人,其中8人(5.7%)出現「對半兩色甲」;而經血液透析長達5年以上者共64人,其中9人(14.1%)出現「對半兩色甲」(p<0.05)。在實驗組中大於60歲者共有101人,其中有14人(13.9%)出現「對半兩色甲」;而小於60歲者103人中只有3人(2.9%)出現(p>0.01)。「對半兩色甲」的出現與否和是否合併有糖、高血壓、心臟病及腦中風等疾病並無直接相關(p>0.05). |
英文摘要 | 204 chronic renal failure (CRF, experiment group) patents versus 213 dermatological clinic patients (control group, age matched with experiment group, exclude hemodialysis and peritoneal dial- ysis patients) were surveyed for “half-and-half nails”. 17 patients in experiment group (17 of 204, 8.3%) showed the “half-and-half nails” phenomenon, but none in control group had this discol- oration (P<0.001). Among the experiment group, the “half-and-half nails” were less frequently found in the subgroup (8 of 140 patients,5.7%) with shorter dialysis history (duration < 5 years), but more frequently found (9 of 64 patients, 14.1%) in the other subgroup with longer dialysis history (duration > 5 years) (p < 0.05). The “half-and-half nails” were less frequently noted (3 of 103 dialysis patients, 2.9%) in patients younger than 60, but more frequently noted (14 of 101 dialysis patients, 13.9%) in the other subgroup older than 60(p<0.01). The incidence of “half-and-half nails” was not directly associated with diabetes mellitus, hypertension, cardiac disease and stroke (p>0.05). |
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