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被引量：47

Nutritional Status of Maintenance Hemodialysis Patients and the Risk Factors for Malnutrition

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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。 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（P0.05）.Logistic regression analysis showed that Kt/V1.20,≥60years 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/V1.20,≥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.

作者施凌云何华平倪松陈琪婕王琦陈富华李银辉郭志勇

机构地区第二军医大学附属长海医院肾内科上海同仁医院肾内科

出处《现代生物医学进展》 CAS 2016年第6期1135-1138,共4页 Progress in Modern Biomedicine

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 Maintenance hemodialysis Chronic kidney disease End Stage Renal Failure Malnutrition Dialysis adequacy

分类号 R459.5 [医药卫生—治疗学]

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参考文献20

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