Cilostazole對透析患者洗腎瘻管的預後分析－單一醫學中心經驗

The Prognosis of Dialysis Patients' Arteriovenous (AV) Shunt with Cilostazol-A Single Medical Center Experience

張釗監(Chao-Chien Chang) ； 莊禮如(Li-Ju Chuang) ； 蘇億玲(Yi-Lin Su) ； 梁惠珍(Hui-Chen Liang) ； 王拔群(Pa-Chun Wang) ； 王榮添(Eng-Thiam Ong)

《輔仁醫學期刊》 7卷4期 (2009/12) Pp. 181-187

摘要

Background and purpose: This paper examined factors affecting the quality of life of dialysis patients and evaluated their short- and long-term survival with an arteriovenous (AV) shunt and cilostazol. Methods: Subjects were hemodialysis patients with uremia in a medical center in northern Taiwan; 101 patients who had received an AV shunt implantation during 1 year were evaluated. The tool was the short form 36 health survey. Results: The results indicated that among 8 dimensions, the average score for bodily pain (BP) was highest at 53.83 (SD=22.97) and that of role limitations due to physical problems (RP) was lowest at 15.54 (SD=29.67). Since the labor-consuming activities of patients were limited but non-labor-consuming activities were less limited, they expressed that the role relating to physical health problems and emotional issues was limited, and they were aware of less vitality concerning their health. Most patients had slight body pains and felt unhappy and blue mentally. Nevertheless, they did not hinder the common activities of family members and friends due to their physical problems or emotional issues. Conclusions: According to the results, we suggest paying more attention to the quality of life of dialysis patients, and future studies can carry out interventions to improve the quality of life of these patients. Cilostazol tended to increase the survival rate of patients with an AV shunt.

關鍵字

Cilostazole ； 洗腎瘻管 ； 生活品質SF-36

並列摘要

Background and purpose: This paper examined factors affecting the quality of life of dialysis patients and evaluated their short- and long-term survival with an arteriovenous (AV) shunt and cilostazol. Methods: Subjects were hemodialysis patients with uremia in a medical center in northern Taiwan; 101 patients who had received an AV shunt implantation during 1 year were evaluated. The tool was the short form 36 health survey. Results: The results indicated that among 8 dimensions, the average score for bodily pain (BP) was highest at 53.83 (SD=22.97) and that of role limitations due to physical problems (RP) was lowest at 15.54 (SD=29.67). Since the labor-consuming activities of patients were limited but non-labor-consuming activities were less limited, they expressed that the role relating to physical health problems and emotional issues was limited, and they were aware of less vitality concerning their health. Most patients had slight body pains and felt unhappy and blue mentally. Nevertheless, they did not hinder the common activities of family members and friends due to their physical problems or emotional issues. Conclusions: According to the results, we suggest paying more attention to the quality of life of dialysis patients, and future studies can carry out interventions to improve the quality of life of these patients. Cilostazol tended to increase the survival rate of patients with an AV shunt.

並列關鍵字

cilostazol ； hemodialysis access ； quality of life ； SF-36