| 李峰1 朱旭峥1 张新胜2.鼻饲极低蛋白匀浆联合α 酮酸疗法对老年慢性肾功能不全患者
营养状况的影响[J].,2011,11(14):2752-2755 |
| 鼻饲极低蛋白匀浆联合α 酮酸疗法对老年慢性肾功能不全患者
营养状况的影响 |
| Effects of Nasal Feeding Low Protein Homogenate plus α Keto AcidTherapy on Nutritional Status of Elderly Patients with Chronic RenalInsufficiency |
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| DOI： |
| 中文关键词: 低蛋白匀浆饮食 α 酮酸 慢性肾功能不全 肠内营养 |
| 英文关键词: Low protein homogenate α ketoacid Chronic renal failure Eternal nutrition |
| 基金项目: |
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| 中文摘要: |
| 目的：评估鼻饲极低蛋白匀浆饮食联合α 酮酸疗法是否延缓慢性肾功能衰竭(CRF) 老年患者病情发展，改善患者营养状况。
方法：将我院收治的无法耐受常规低蛋白饮食治疗的肾功能衰竭的老年患者，共24 例，随机分为两组，每组12 例，一组病人给予
极低蛋白匀浆饮食联合α 酮酸治疗，为α 酮酸组；一组病人给予单纯低蛋白匀浆饮食，为低蛋白组，均进行了6 个月的治疗，然后
调查患者营养状况。结果：治疗后两组患者的血清总蛋白(TP)、白蛋白(ALB)、前白蛋白(PA)水平较治疗前上升，无明显营养不良，
但α 酮酸组上升幅度更大(P<0.05)。与治疗前相比，α 酮酸组患者经治疗后，血胆固醇(CH)、三酰甘油(TG)、磷(P)水平均下降，血钙
(Ca)水平上升(P<0.05)，上述指标在低蛋白组无显著性改变。两组患者治疗后血肌酐(Cr)和尿素氮(BUN)在治疗期间均保持稳定。
结论：①极低蛋白匀浆饮食联合α 酮酸疗法和单纯低蛋白匀浆饮食治疗在短期内均可延缓慢性肾功能不全进展并改善营养状
况，而且前者效果更优；②联合α 酮酸治疗对改善血脂和钙磷代谢紊乱具有明显作用，单纯低蛋白肠内营养治疗无显著作用。 |
| 英文摘要: |
| Objective: To investigate whether the treatment of nasally feeding very low protein homogenate with α ketoacid delay
the progression of chronic renal failure and improve the nutrition status of patient. Methods: 24 aged patients of chronic renal failure
who couldn't afford to the treatment of feeding ordinary low protein were randomly divided into two groups, 12 patients in each group.
Very low protein homogenate with α ketoacid was administrated to the patients in one group, called α ketoacid group, while only low
protein homogenate was administrated to the patients in the other group, called low protein group. The treatment was carried out for 6
months, then the nutrition status of all patients was investigated. Results: The levels of the serum total protein (TP), albumin (ALB) and
prealbumin (PA) in both group after treatment were higher than the levels before the treatment, but the rising amplitude in the α ketoacid
group was larger (P<0.05). Compared with the level before the treatment, the levels of blood cholesterol (CH), blood triglyceride (TG),
phosphorus (P) in the α ketoacid group were descent(P<0.05), and the level of blood calcium(Ca) was ascent(P<0.05), while there were
no significant improvement in the levels of all the above-mentioned indicators in the low protein group. The levels of blood creatinine
(Cr) and blood urea nitrogen (BUN) in both group kept stable during the treatment. Conclusion: 1. The treatment of nasally feeding very
low protein homogenate with α ketoacid and the treatment of only nasally feeding low protein homogenate both delay the progression of
chronic renal failure and improve the nutrition status of patient and the former is better. 2.The treatment with α ketoacid improve blood
lipid and adjust the metabolic disorders of Ca and P. |
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