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2024 ; 16
(7
): 2157-2166
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Study on the occurrence and influencing factors of gastrointestinal symptoms in
hemodialysis patients with uremia
#MMPMID39087119
Yuan D
; Wang XQ
; Shao F
; Zhou JJ
; Li ZX
World J Gastrointest Surg
2024[Jul]; 16
(7
): 2157-2166
PMID39087119
show ga
BACKGROUND: Gastrointestinal symptoms are common in patients with uremia
undergoing hemodialysis, and these symptoms seriously affect patients' prognosis.
AIM: To assess the occurrence and factors influencing gastrointestinal symptoms
in patients with uremia undergoing hemodialysis. METHODS: We retrospectively
selected 98 patients with uremia who underwent regular hemodialysis treatment in
the blood purification center of our hospital from December 2022 to December
2023. The gastrointestinal symptoms and scores of each dimension were evaluated
using the Gastrointestinal Symptom Grading Scale (GSRS). Patients were divided
into gastrointestinal symptoms and no gastrointestinal symptom groups according
to whether they had gastrointestinal symptoms. The factors that may affect
gastrointestinal symptoms were identified by single-factor analysis. Multiple
logistic regression analysis was performed to identify independent risk factors
for gastrointestinal symptoms. RESULTS: Gastrointestinal symptoms included
indigestion, constipation, reflux, diarrhea, abdominal pain, and eating
disorders, and the total average GSRS score was 1.35 ± 0.47. This study showed
that age, number of tablets, dialysis time, glucocorticoid, parathyroid hormone
(PTH), combined diabetes mellitus and C-reactive protein (CRP) were independent
risk factors for gastrointestinal symptoms in patients with uremia undergoing
hemodialysis, whereas body mass index (BMI), hemoglobin (Hb), and urea clearance
index were independent protective factors (P < 0.05). CONCLUSION:
Gastrointestinal symptoms are mostly mild in patients with uremia undergoing
hemodialysis, most commonly including dyspepsia, eating disorders, and
gastroesophageal reflux. The independent influencing factors mainly include the
BMI, age, number of pills taken, dialysis time, urea clearance index, Hb, use of
glucocorticoids, and thyroid hormone level. PTH, CRP, and diabetes are clinically
related factors influencing the occurrence of gastrointestinal symptoms, and
targeted prevention can be performed.
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