摘要
由于血液透析技术的广泛开展,慢性肾脏病(chronic kidney disease;CKD)血液透析患者的生活质量得到了明显改善,而血液透析患者的营养不良却仍然是临床医生棘手的问题,并越来越引起人们的重视,它可直接影响血透病人的临床症状、体征、并发症以及存活率等一系列问题。维持性血液透析(Maintenance hemodialysis;MHD)病人发生营养不良时,一般均可出现免疫功能降低,贫血加重,容易感染,心、脑、肺等脏器功能减退,易发生各种严重并发症,导致病人的生活质量下降,长期生存率降低,死亡率增高。营养不良不但影响维持性血液透析患者的生存期和生活质量,同时亦是并发症和死亡率增加的一个重要原因之一,探讨其原因,维持性血液透析病人营养不良的发生,既有血液透析本身的原因,也有血液透析以外的原因,本文从不同角度探讨了MHD患者营养不良的原因、影响因素以及临床上在维持性血液透析(MHD)患者营养不良方面采取的治疗对策。
Since the widespread launch of blood dialysis,chronic kidney disease（chronic kidney diseases;CKD）quality of life in hemodialysis patients was significantly improved,while malnutrition in hemodialysis patients is still a difficult problem clinicians,and increasingly more attention has been paid,it can directly affect the hemodialysis patients clinical symptoms and signs,complications,and survival and other issues.Hemodialysis patients developed malnutrition,general immune function may occur,increasing anemia,easy infections,heart,brain,lung and other organ dysfunction,prone to a variety of serious complications,resulting in decreased quality of life of patients,reduce long-term survival mortality.Malnutrition not only affects hemodialysis（Maintenance hemodialysis;MHD）patients survival and quality of life,but also the complications and mortality is an important reason for the increase in one of the reasons,the maintenance of malnutrition in hemodialysis patients occurred,both hemodialysis own reasons,but also for reasons other than hemodial-ysis,this article from the perspective of the MHD patients with different causes of malnutrition,and clinical factors in maintenance hemodialysis（MHD）patients to the treatment of malnutrition in countermeasures.
出处
《现代生物医学进展》
CAS
2010年第18期3595-3597,共3页
Progress in Modern Biomedicine
关键词
慢性肾脏病
维持性血液透析
营养不良
Chronic kidney diseases Maintenance hemodialysis Malnutrition
