期刊文献+

血液透析患者营养状态的临床分析

Assessment of Nutritional Status in Patients on Maintenance Hemodialysis
原文传递
导出
摘要 目的:探讨血液透析(MHD)患者营养状况及导致患者营养不良的相关因素,为营养治疗提供理论依据。方法:选取血液透析患者38例为观察组,并选择30例同期体检健康人员为对照组,分别对2组的血生化指标、人体测量学等营养状况进行评估,了解营养不良的原因。结果:对照组Alb、PA、Hb、LYM均显著高于实验组(P〈0.05),而且实验组的Scr、MAMC极显著低于对照组(P〈0.01),2组TC、TSF比较没有统计学意义(P〉0.05)。单因素分析,患者营养不良与Alb、PA、Scr呈正相关,与TC、TSF、MAMC相关性不大。结论:营养不良是透析患者常见的一种并发症,可以增加患者的病死率.及时改善MHD患者营养状况,减少病死率,提高患者的生活质量。 Objective :To evaluate the nutritional status in patients on maintenance hemodialysis (MHD). Methods: 38 patients on MHD were selected as test group and 30 healthy subjects from the health examination center as the controls. Biochemistry and anthropome- tiT parameters were collected in the two groups. Results: Compared with the healthy control the level of Alb, PA, Hb and LYM was higher than in test group. The level of Scr and MAMC was obviously higher than in test group , but the level of TC and TSF in the two group was not difference. The serum level of Alb, PA and Set was correlated with malnutrition in patients on MHD( P 〈 0.05 ) , but showed no corre- lation with TC, TSF and MAMC ( P 〉 0. 05 ). Conclusion: Malnutrition might be a common complication seen in patients on MHD, which may increase the mortality. For those patients should improved nutrition status, and improved quality of life of the patients.
作者 唐毓启
出处 《中国伤残医学》 2015年第12期20-21,共2页 Chinese Journal of Trauma and Disability Medicine
关键词 维持性血液透析 营养不良 营养状态 Maintenance hemodialysis Malnutrition Nutrition status
  • 相关文献

参考文献6

二级参考文献52

  • 1叶云洁,倪兆慧,钱家麒,何颖欣.终末期肾病微炎症状态和动脉粥样硬化的关系[J].中华肾脏病杂志,2004,20(3):173-176. 被引量:94
  • 2郑智华,马祖等,张涤华,沈清瑞,余学清.血液透析患者营养状态与生存质量关系研究[J].中国血液净化,2005,4(4):187-190. 被引量:113
  • 3陈维珍.维持性血液透析患者39例营养状况分析及护理[J].齐鲁护理杂志,2006,12(04A):585-586. 被引量:17
  • 4Bross R, Zitterkoph J, Pithia J, et al. Association of Serum Total Iron - Binding Capacity and Its Changes Over Time with Nutritional and Clinical Outcomes in Hernodialysis Patients. Am J Nephrol,2009,29(6) :571 - 581.
  • 5Rambod M, Kovesdy CP, Kalantar - Zadeh K. Combined high serum ferritin and low iron saturation in hemodialysis patients: the role of inflammation. Clin J Am Soc Nephrol, 2008,3 (6) : 1691 - 1701.
  • 6Kalantar - Zadeh K, Abbott KC, Salahudeen AK, et al. Survival advantages of obesity in dialysis patients. Am J Clin Nutr,2005,81(3) :543 - 554.
  • 7Kato A,Odamaki M,Takita M, et al. C- reactive protein is a predictor of short - term mortality in hemoclialysis patients. Am J Nephrol,2001,21(2) : 170.
  • 8Chauveau P,Level C,Lasseur C,et al. C- reactive protein and procalcitonin as markers of mortality in hernodialysis patients: A 2 - year prospective study. J Ren Nutr, 2003,13 (2) : 137 - 143.
  • 9Dummer CD, Thome FS, Veronese FV. Chronic renal disease,inflammation and atherosclemsis: new concepts about an old problem. Rev Assoc Med Bras,2007,53(5) :446 - 450.
  • 10Kalantar- Zadeh K,Kopple JD, Humphreys MH,et al. Comparing outcome predictability of markers of malnutrition - inflammation complex syndrome in haemodialysis patients. Nephrol Dial Transplant, 2004,19 (6) : 1507 - 1519.

共引文献75

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部