摘要目的评估维持性血液透析(M H D)患者的营养状况并进行饮食综合管理。方法 40例M H D患者在透析充分的前提下,开展持续6个月的饮食管理,并通过膳食调查、人体测量、临床生化检测和主观全面营养评价法(SG A)进行综合评价,对饮食管理前后M H D患者的营养状况进行比较。结果饮食管理前后M H D患者的多项营养水平指标比较均有统计学意义(p<0.05),饮食管理前后患者的营养不良发生率差异也有统计学意义(p<0.05)。结论饮食管理能改善M H D患者的营养状况。
1Wang AY,Sea MM,Fang N,et a1.Resting Energy Expenditure and Subsequent Mortality Risk in Peritoneal Dialysis Patients[J].J Am Soc Nephrol,2004,15(12):3134-3143.
5Tarng DC,Huang TP,Doong TI.Improvement of nutrition status in patients receiving maintance hemodialysis after correction of renal anemia with recombinant human erythorpoietin[J].Nephron,1998,78(3):253-255.
9Stenvinkel P,Heinburger O,Lindholm B,et al.Are there two types,of malnutrition in chronic renal failure?Evidence for relationships between malnutrition inflammation and atherosclerosis(MIA syndrome)[J].Nephrol Dial Transplant,2000,15(7):953-960.
10Scott BK,Christian GR,Pat M,et al.Protocolized anemia management with erythropoietin in hemodialysis patients:a randomized controlled trial[J].J Am Soc Nephrol,2003,14:2654-2611.
5Kalender B, Ozdemir A. C, Dervisoglu E, et al. Quality of life in chronic kidney disemse:effects of treatment modality, depression, malnutrition and inflammation[ J ]. International Journal of Clinical Practice, 2007,61 (4) : 569 - 576.
6Kalender B, Ozdemir A. C, Dervisoglu E, et al. Quality of life in chronic kidney disemse:effects of treatment modality, depression, malnutrition and inflammation[ J ]. International Journal of Clinical Practice, 2007,61 (4) : 569 - 576.
