Progresses in the study of cognitive impairment and decreased activities of daily living in maintenance hemodialysis patients
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维持性血液透析(maintenance hemodialysis,MHD)是治疗和延长终末期肾病患者生命的重要手段之一,认知障碍(cognitive impairment,CI)是MHD患者一种常见的并发症,研究发现CI会引起MHD患者日常生活活动(activities of daily living,ADL)能力下降.目前,大部分人对MHD患者CI认识不足,对患者ADL能力丧失的关注度不够.因此,本文将基于国内外文献报道,对MHD患者CI和ADL能力现况进行分析,综述CI的发病机制及对ADL能力的影响,并通过必要的干预措施来提高患者的ADL能力.
Maintenance hemodialysis(MHD)is one of the important measures for treatment and longer survival of the patients with end-stage renal disease.Cognitive impairment(CI)is a common complication of MHD patients.Studies have revealed that CI causes decreased activities of daily living(ADL)in MHD pa-tients.However,CI with decreased ADL in MHD patients are usually neglected by most people.This article analyzes the current status of CI and ADL in MHD patients based on the reports in domestic and foreign litera-ture,and summarizes the pathogenesis of CI and its impact on ADL and the managements to increase ADL abilities in MHD patients.
Renal dialysisCognitive impairmentDaily living activities
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