第六章 結論與建議
第三節 研究限制
一、本研究為連續性取樣之設計，且取樣單位來自同一教學醫院之患者，因此難 以代表其它地區患者之疲倦情形。
二、本研究為一橫斷性研究，但疲倦狀況為一主觀且隨時間浮動之現象，因此無 法提供及時且連續性的疲倦數值，對患者之疲倦程度或狀態，較侷限而無法 有完整的了解。
三、關於發炎指數與疲倦狀況之關聯，本研究由於受限財力及人力資源，僅以半 年之內曾抽驗過之 C-反應蛋白為用，也無法抽驗如文獻所列之介白質-6 等，
可能有失偏頗。左旋肉鹼與疲倦部分，因本研究未特別詢問患者的日常飲食 狀況，無法排除食物對左旋肉鹼濃度造成的影響。
四、本研究原計畫比較有施打及未施打左旋-肉鹼兩組病患之肌力及疲倦程度，
但剛好遇到該透析單位有政策上的變化，導致施打左旋-肉鹼之個案大量流 失，無法收到足夠個案，而無法進一步分析兩者之差異。
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