Paired observation of long-term indwelling catheter and arterio-venous fistula for quality of life assessment in hemodialysis patients
10.3760/cma.j.issn.1673-4904.2010.18.005
- VernacularTitle:长期留置导管与动静脉内瘘对长期血液透析患者生存质量评估的对比观察
- Author:
Wei GONG
;
Jingdong FAN
;
Feng TONG
;
Chaoyang YE
- Publication Type:Journal Article
- Keywords:
Catheters,indwelling;
Arteriovenous fistula;
Renal dialysis
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(18):11-14
- CountryChina
- Language:Chinese
-
Abstract:
Abstract Objective To compare the quality of life in long-term hemodialysis patients using tunnel cuffed catheter with arterio-venous fistula. Methods Thirty patients using tunnel cuffed catheter (catheter group) and another 30 patients using arterio-venous fistula (fistula group) were observed. The rate of infection,thrombus and blood flow were recorded. The lab examinations such as blood urea nitrogen,creatinine,serum electrolyte,hemoglobin, C reactive protein, parathyrine, β2 microglobulin were measured,subjective global assessment (SGA) was made, KT/V and urea reduction ratio (URR) were calculated.Quality of life was surveyed with KDQOL-SFTM questionnaire and to conduct comparative analysis. Results KT/V was 1.49 ± 0.25 in catheter group, and 1.45 ± 0.28 in fistula group, there was no significant difference between the two groups. The lab examinations and SGA were similar in two groups. There were no significant difference of quality of life between the two groups except for pain (the score in catheter group was significantly higher than that in fistula group). The rate of infection was significantly higher in catheter group than that in fistula group. The rate of thrombus was similar in two groups. Conclusions As alternative of fistula in patients whose fistula could not be established, the tunnel cuffed catheter could give adequate dialysis and satisfactory quality of life,and is predominating in pain-reducing. The rates of infection and thrombus are decreased, but maintain the important problems to be solved.
