Analysis of Postdialysis Fatigue and TCM Constitution and its Influencing Factors in Patients with Maintenance Hemodialysis
Objective To analyze the correlation between postdialysis fatigue and TCM constitution and its influencing factors in patients with maintenance hemodialysis(MHD).Methods From February to September 2022,206 patients who underwent MHD treatment in the First Affiliated Hospital of Guangxi University of Chinese Medicine were selected as the observation objects.The TCM constitution and post-dialysis fatigue were analyzed.The fatigue scores of patients with different TCM constitutions were compared.Multivariate logistic regression was used to analyze the influencing factors of post-dialysis fatigue in MHD patients.Spearman correlation was used to analyze the correlation between post-dialysis fatigue and its influencing factors in MHD patients.Results The scores of TCM constitution of postdialysis fatigue from high to low were yang deficiency＞qi deficiency＞blood stasis＞yin deficiency＞phlegm-damp＞damp heat＞qi stagnation＞special intrinsic quality(P＜0.05).Univariate analysis showed that there were statistically significant differences in gender,age group,working status,hemoglobin and serum albumin levels among patients with different degrees of fatigue(P＜0.05).Multivariate Logistic regression analysis showed that age and hemoglobin index were risk factors affecting the degree of postdialysis fatigue in MHD patients(P＜0.05).Spearman correlation analysis showed that the degree of postdialysis fatigue in MHD patients was positively correlated with age and dialysis time(P＜0.05),and the degree of postdialysis fatigue in MHD patients was negatively correlated with hemoglobin index(P＜0.05).Conclusion There are great differences in the degree of postdialysis fatigue in MHD patients with different TCM constitutions,and the degree of postdialysis fatigue is closely related to age,dialysis time and hemoglobin index.
万方数据
维普
