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頁籤選單縮合
題 名 | Uremic Pruritus in the Maintenance of Hemodialysis Patients=血液透析病患尿毒性搔癢症之臨床研究 |
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作 者 | 邱文淵; 張浤榮; 林文鶯; 連榮達; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 17:2 2003.05[民92.05] |
頁 次 | 頁63-68+105 |
分類號 | 415.816 |
關鍵詞 | 尿毒性搔癢症; 血液透析; C-反應蛋白; 血清鈣; Uremic pruritus; Hemodialysis; C-reactive protein; Calcium; |
語 文 | 英文(English) |
中文摘要 | 尿毒性搔癢症是血液透析病患難以治療的症狀,其致病原因尚不是很清楚。我們研究六十八位血液透析病患並比較有搔癢症和沒有搔癢症病患的差異。我們將病患依搔癢程度分為三級:輕度、中度、重度。超過一半的病患(56%)患有搔癢症。其中輕度有十二位(17%),中度有十四位(20%),重度有十二位(17%)。至於貧血、身體鐵貯儲存量、血小板數目、年齡、性別、每次透析時間、治療期間長短、糖尿病、副甲狀腺荷爾蒙濃度、beta2-microglobulin濃度等則與尿毒性搔癢症無關。有搔癢症病患的C-反應蛋白濃度比沒有搔癢症病患的為高且具顯著統計意義(1.34±2.10 vs 0.17±0.34, p=0.002)。搔癢程度較嚴重者其血清之C-反應蛋白濃度較高(p<0.05)。有搔癢症的病患的血鈣濃度比沒有搔癢症病患為高(9.73±0.68 vs 9.42±0.55, p=0.046)。雖然,血鈣濃度較高者具較嚴重搔癢傾向,但不具統計意義(p=0.143)。我們的研究發現發炎反應和血鈣濃度高低可能與尿毒性搔癢症有關。 |
英文摘要 | Pruritus is a common symptom among patients on hemodialysis (HD). We studied 68 HD patients to assess the role of iron status, anemia, inflammation, serum beta2-micro globulin (β2M) levels and other common serum and dialysis parameters particularly in uremic pruritis. The intensity of pruritus was quantified into three groups: mild, moderate, and severe. Fifty-six percent of the patients had pruritus, with mild pruritus in 17% (n=12), moderate pruritus in 20% (n=14) and severe pruritus in 17% (n=12). The patients with pruritus had higher serum C-reactive protein (CRP) levels than patients without pruritus (1.34±2.10 vs 0.17±0.34, p=0.002). In addition, the serum CRP levels demonstrated an upward trend in patients with more severe intensity of pruritus (p<0.05). The parameters related to anemia, platelet count, serum iPTH levels, EPO dosage and iron status did not differ between patients with or without pruritus, and neither did age, sex, presence or absence of diabetes mellitus (DM), HD duration, time on HD treatment, serum β2M levels, KT/V or nPCR. The serum calcium levels were higher in patients with pruritus than in those without pruritus (9.73±9.68 vs 9.42±9.55, p=0.046). Although the serum calcium levels also showed an upward trend in patients with more severe pruritus, it was not statistically significant (p=0.143). In summary, our findings suggest inflammation and serum calcium may play a role in the pathogenesis of uremic pruritus. |
本系統中英文摘要資訊取自各篇刊載內容。