目的  探讨婚姻状况对血液透析患者生活质量的影响，以提供科学的干预措施和健康教育手段。方法采用生活质量调查表(SF-36)、婚姻质量调查表对60 例维持性血液透析患者进行问卷调查，同时选择60 例健康体检人群作为对照。结果统计结果显示有配偶的血液透析患者在总体健康、生理功能、生理职能、情感职能等多个维度的评分都高于无配偶者(P ＜0.05)，其中总体健康的评分显著高于无配偶者(P =0.0011)。婚姻质量问卷表显示血液透析患者对婚姻满意度评分与正常人群无显著差异，但是男、女血液透析患者对性生活的评分均显著低于对照组(P ＜0.01，其中男性：P= 0.0241；女性：P =0.003)。结论婚姻状况是影响血液透析患者生活质量的重要因素。

Objective  To evaluate marital status on quality of life so as to provide scientific intervention and health education in maintenance hemodialysis (MHD) patients. Methods Using the quality of life questionnaire (SF-36) and marriage quality questionnaire, we studied quality of life and marital status in 60 MHD patients as well as 60 healthy individuals for control. Results The multiple dimension scores including general health, physical function, physical performances and emotional function were higher in MHD patients having spouses than those without spouses (P＜0.05), and the general health score was significantly higher in the patients having spouses (P＜0.0011). Marriage quality questionnaire showed that the marital satisfaction score was similar in MHD patients and in healthy controls, but the sexual life score was significantly lower in male and female MHD patients than in healthy controls (P=0.0241 for males, and P=0.003 for females). Conclusions Marital status is an important factor affecting quality of life in MHD patients.