末期腎臟病患的睡眠障礙之發生以及腎臟替代療法對其影響

The Occurrence of Sleep Disturbance in Patient of End Stage Renal Disease and the Effect of Renal Replacement Therapy to This Problem

田志宏(Chee-Hong Chan) ； 李文欽(Wen-Chin Lee) ； 許莉美(Limei Hsu) ； 陳燕蘭(Yan-Lan Chen)

《腎臟與透析》 28卷4期 (2016/12) Pp. 180-184

https://doi.org/10.6340/KD.2016.28(4).06

摘要

睡眠障礙普遍發生於尿毒症病患和第四及第五期慢性腎臟病的病患，包括失眠、過多的睡眠、睡眠中止症候群、及影響睡眠的不寧足症候群。在末期慢性腎臟病的病患的發生率分別為19至70%、31至77%、＞50%及14至57%；明顯高於非慢性腎臟病病患，且此問題常被臨床照顧人員忽略。腎臟替代療法的選擇和透析的調整也會對其有所影響。睡眠障礙不但影響末期腎臟病患生活品質和工作表現、也增加病患罹病率及死亡率、增加醫療費用支出及社會成本。由此可見，睡眠障礙在慢性腎臟病的患者是一個重要的議題。

關鍵字

末期腎疾病 ； 失眠 ； 不寧足症候群 ； 睡眠中止

並列摘要

Sleep disorder commonly occurred in uremic patients and patient of chronic kidney disease stage 4 and 5, these including insomnia, excessive sleepiness, sleep apnea, and restless legs syndrome. The prevalence of above problems are ranges from 19 to 70%, 31 to 77%, more than 50%, and 14 to 57% respectively. The prevalence also significantly higher than patients without chronic kidney disease. These problems are always ignored by clinical staff. Sleep disorder not only effect life quality of chronic kidney disease, it also increase mortality & morbidity of chronic kidney disease patients, and medical expenses and social cost. Hence, sleep disorder is an important topic in chronic disease patient.

並列關鍵字

end stage renal disease ； insomnia ； restless leg syndrome ； sleep apnea