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维持性血液透析患者认知衰弱的研究进展

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维持性血液透析(maintenance hemodialysis,MHD)患者认知障碍与躯体衰弱共存被称为认知衰弱,其已成为MHD患者的新型并发症,并增加跌倒、骨折、功能障碍和死亡等不良结局的风险.及时采取干预措施可延缓甚至逆转认知衰弱向痴呆的发展,从而降低不良结局风险,提高患者生存质量.基于此,该文通过文献综述的方法总结国内外关于MHD患者认知衰弱的流行病学、评估工具、影响因素及干预措施方面的研究进展,旨在为临床工作人员开展MHD患者认知衰弱的早期筛查和诊疗提供参考依据.
Research on the cognitive frailty in maintenance hemodialysis patients
The coexistence of cognitive impairment and physical frailty in maintenance hemodialysis(MHD)patients is known as cognitive frailty.It has emerged as a novel complication in MHD patients and increases the risk of adverse outcomes such as falls,fractures,functional impairment and death.Timely intervention can delay or even reverse the development of cognitive frailty to dementia,thereby reducing the risk of adverse outcomes and improving the quality of life of patients.Based on this literature review method,this article summarizes the domestic and foreign research progress on the epidemiology,assessment tools,influencing factors and intervention measures of cognitive frailty in MHD patients,aiming to provide reference for clinical staff to carry out early screening and intervention of cognitive frailty in MHD patients.

Maintenance hemodialysiscognitive frailtyprogressreview

罗英、李洁、袁怀红

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四川大学华西医院肾脏内科/肾脏病研究所/四川大学华西护理学院(成都 610041)

维持性血液透析 认知衰弱 进展 综述

2024

华西医学
四川大学华西医院

华西医学

CSTPCD
影响因子:0.744
ISSN:1002-0179
年,卷(期):2024.39(7)
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