| 施凌云 何华平 倪松 陈琪婕 王琦 陈富华 李银辉 郭志勇.维持性血液透析患者营养状况及营养不良的影响因素分析[J].,2016,16(6):1135-1138 |
| 维持性血液透析患者营养状况及营养不良的影响因素分析 |
| Nutritional Status of Maintenance Hemodialysis Patients and the Risk Factors for Malnutrition |
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| DOI： |
| 中文关键词: 维持性血液透析 慢性肾脏病 终末期肾病 营养不良 透析充分性 |
| 英文关键词: Maintenance hemodialysis Chronic kidney disease End Stage Renal Failure Malnutrition Dialysis adequacy |
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| 中文摘要: |
| 目的：探讨维持性血液透析（MHD）患者营养状况以及营养不良的影响因素，为临床工作提供指导。方法：选择2010 年-2014
年在我院进行MHD 治疗的120 例患者作为研究对象，采用改良定量主观整体评估表(MQSGA)并结合相关生化指标测定等手段
综合评估透析患者营养状况，分析MHD 患者发生营养不良的危险因素。结果：MQSGA评估显示，营养正常组50 例(41.67%)，轻
中度营养不良组61 例（50.83%），重度营养不良组9 例（7.50%）。不同营养状况组患者间Alb、PA、Cr比较差异有统计学意义（P<0.
05）。Logistic回归模型显示，Kt /V＜1.20、年龄≥ 60 岁、透析龄≥ 3 年及hs-CRP≥ 3 mg/L是MHD 患者发生营养不良的危险因素。
结论：MHD患者中发生营养不良的比例较大，Kt /V＜1.20、年龄≥ 60 岁、透析龄≥ 3 年及hs-CRP≥ 3 mg/L 是其危险因素，可作为
评价生营养不良的可靠指标。 |
| 英文摘要: |
| Objective:To explore the nutritional status of maintenance hemodialysis (MHD) patients and the risk factors for
malnutrition, in order to provide the guidance for clinical work.Methods:Selected 120 cases of patients as the research objects who were
underwent MHD treatment in our hospital from 2010-2014, Modified Quantitative Subjective Global Assessment (MQSGA) combined
with laboratory biochemical indexes detection were used to assess the nutritional status of all patients comprehensively, and analyzed the
risk factors for malnutrition.Results:MQSGA assessment showed that there were 50 patients in normal nutrition group (41.67%), 61
patients in mild and moderate malnutrition group (50.83%) and 9 patents in severe malnutrition group (7.50%). The values Alb, PA, and
Cr were significantly different in different nutritional status groups (P<0.05). Logistic regression analysis showed that Kt/V<1.20, ≥ 60
years old and hemodialysis duration ≥ 3 years were the the risk factors for malnutrition MHD patients.Conclusion:There were high
incidence of malnutrition in MHD patients, Kt/V<1.20, ≥ 60 years old and hemodialysis duration≥ 3 years were the the risk factors,
which could be the reliable indexes to assess the malnutrition in MHD patients. |
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