Sleep Disorders, Restless Legs Syndrome, and Uremic Pruritus: Diagnosis and Treatment of Common Symptoms in Dialysis Patients

被引：125

作者：

Scherer, Jennifer S. ^{[1
,2
]}

Combs, Sara A. ^{[3
,4
]}

Brennan, Frank ^{[5
]}

机构：

[1] NYU, Sch Med, Div Palliat Care, New York, NY USA

[2] NYU, Sch Med, Div Nephrol, New York, NY USA

[3] Univ Colorado, Sch Med, Dept Med, Div Nephrol,VA Eastern Colorado Hlth Care Syst, Denver, CO USA

[4] Univ Colorado, Sch Med, Dept Med, Div Palliat Care,VA Eastern Colorado Hlth Care Sy, Denver, CO USA

[5] St George Hosp, Dept Nephrol, Kogarah, NSW, Australia

来源：

AMERICAN JOURNAL OF KIDNEY DISEASES | 2017年 / 69卷 / 01期

关键词：

Sleep disorders; insomnia; restless legs syndrome; uremic pruritus; symptoms; dialysis; quality of life (QoL); kidney disease; chronic renal failure; end-stage renal disease (ESRD); symptom management; review; QUALITY-OF-LIFE; RANDOMIZED CROSSOVER TRIAL; HEMODIALYSIS-PATIENTS; DOUBLE-BLIND; KIDNEY-DISEASE; PRACTICE PATTERNS; ULTRAVIOLET PHOTOTHERAPY; FREQUENT HEMODIALYSIS; DOPAMINE AGONISTS; TOPICAL CAPSAICIN;

D O I：

10.1053/j.ajkd.2016.07.031

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Maintenance dialysis patients experience a high burden of physical and emotional symptoms that directly affect their quality of life and health care utilization. In this review, we specifically highlight common troublesome symptoms affecting dialysis patients: insomnia, restless legs syndrome, and uremic pruritus. Epidemiology, pathophysiology, and evidence-based current treatment are reviewed with the goal of providing a guide for diagnosis and treatment. Finally, we identify multiple additional areas of further study needed to improve symptom management in dialysis patients. (C) 2016 by the National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

引用

页码：117 / 128

页数：12

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