·综述·902024,14(3)医师在线第14卷第3期浅析尿毒症瘙痒评估量表付饶1，何剑川2，吴霞1，唐子茹1（1成都中医药大学附属医院肾病一科，成都610072；2四川省中西医结合医院肾病科，成都610041）【摘要】瘙痒是很多皮肤疾病共有的自觉症状，也是尿毒症患者发病率最高的并发症之一，具有发病部位广泛、夜间症状加重、程度轻重不一等特点。目前，临床上所使用的皮肤瘙痒评估量表种类繁多，但多数为精神科或皮肤科医师所研发，再经肾病科医师汉化或借用，专门用于评估尿毒症瘙痒病情的量表相对较少，且对尿毒症瘙痒的评估标准也尚未统一，临床医生在量表的选择上存在一定困难。本文整理归纳了目前临床常用的尿毒症瘙痒评估量表，并浅析各自的优缺点，以期为临床医师在不同应用场景下选择合适的评估量表提供参考。【关键词】慢性肾脏病；尿毒症皮肤瘙痒；瘙痒评估量表；瘙痒程度AnalysisofuremicpruritusassessmentscaleFURao*,HEJian-chuan,WUXia,etal.*TheFirstDepartmentofNephropathy,HospitalofChengduUniversityofTraditionalChineseMedicine,Chengdu610072,China.【Abstract】Pruritusisacommonsubjectivesymptomofmanyskindiseases,anditisalsooneofthecomplicationswiththehighestincidencerateamonguremicpatients.Ithasthecharacteristicsofextensivelocation,aggravationofnocturnalsymptoms,andvaryingdegreesofseverity.Atpresent,therearevarioustypesofskinitchassessmentscaleusedinclinicalpractice,butmostofwhicharedevelopedbypsychiatristsordermatologists,andthentranslatedorborrowedbynephrologists.Therearerelativelyfewscalesspecificallyusedtoevaluatetheconditionofuremicpruritus(UP),andtheevaluationstandardsforUPhavenotbeenunified.Clinicianshavecertaindifficultiesintheselectionofscales.ThisarticlesummarizesthecommonlyusedUPassessmentscalesinclinicalpractice,andanalyzestheirrespectiveadvantagesanddisadvantages,inordertoprovidereferenceforclinicalphysicianstochooseappropriateassessmentscalesindifferentapplicationscenarios.【Keywords】Chronickidneydiseases;Uremicpruritus;Pruritusassessmentscale;Itchingdegree尿毒症瘙痒（Uremicpruritus，UP）是慢性肾脏病患者，特别是透析患者最常见的并发症之一[1]，病变可累及全身皮肤，双上肢、腹部、腰背部等部位多发，具有发病部位双侧对称...
