期刊文献+

维持性血液透析患者营养状态及其影响因素的探讨 被引量:2

The study of nutritional status and associated factors of patients in maintained hemodialysis
下载PDF
导出
摘要 目的:通过探讨维持性血液透析患者营养状况并探讨骨代谢毒素对营养不良的影响,为营养不良和肾性骨病的治疗提供依据。方法:入选维持性血液透析患者69例,测定指标,①肾性骨病相关毒素,血清甲状旁腺素(PTH)、血钙、磷;②营养学测定,MQSGA、白蛋白、IGF-1、IGF-BP3、人体指数学测量(BSF、TSF、MAC、MAMC);③贫血指标,Hb、HCT、转铁蛋白(TF);④微炎症标志,血清C-反应蛋白(CRP)。结果:血液透析患者营养不良发生率达69.6%;iPTH与MQSGA、ALB、Hb、MAC、MAMC、IGF-1相关性存在统计学意义,P<0.05;钙磷沉积与MQSGA、ALB、Hb、MAC、MAMC相关,P<0.05。结论:维持性血液透析患者营养不良发生率高,PTH、钙磷代谢是影响血液透析患者营养状态、蛋白代谢和贫血的重要因素。 Objective: To study the nutrition status of patients in maintenance hemodialysis and how parathyroid hormone affects nutritional status of these patients.Provide evidence for the treatment of malnutrition and renal osteodystrophy. Methods: The determination standard with 69 patients:①Serum PTH, Ca,Pi;②MQSGA,albumin,IGF-l,IGF-BP3,Anthropo-metric indices biceps skin fold(BSF),triceps skin fold(TSF),transferrin mid arm circumference(MAC) and mid arm muscle circumference(MAMC) were measured.③Hb,HCT and transferrin;④C-reactive protein.Results:The incidence of malnutrition was 69.6% .There were significantly relationship between PTH and MQSGA,ALB,Hb,MAC,MAMC,IGF-1,P〈0.05;It demonstrated significant correlation between deposition of calcium and phosphorus and phosphate product and MQSGA, ALB,HB,MAC and MAMC,P〈0.05. Conclusion: The incidence of malnutrition of maintained hemodialysis is still high, and we should pay more attention to these patients in clinic work.There is important factor that PTH and calcium and phosphorus metabolism.
出处 《中国当代医药》 2009年第14期38-40,共3页 China Modern Medicine
关键词 血液透析 营养不良 甲状旁腺素 贫血 胰岛素样生长因子 Hemodialysis PTH Malnutrition Anemia IGF-1
  • 相关文献

参考文献2

  • 1马祖等,郑智华,张涤华,郝元涛,叶任高,娄探奇,毛晓玲,刘岩,刘冠贤,朱起之,张增华,汪华林,傅君舟,余学清.血液透析和腹膜透析患者生存质量的多中心调查[J].中华肾脏病杂志,2004,20(6):400-405. 被引量:87
  • 2Pedro L. Neves,Julio Trivi?o,Francisco Casaubon,Paulo Rom?o,Patricia Mendes,Isilda Bexiga,Isabel Pinto,Viriato Santos,Idalécio Bernardo. Elderly patients on chronic hemodialysis: Effect of the secondary hyperparathyroidism on the hemoglobin level[J] 2002,International Urology and Nephrology(1):147~149

二级参考文献10

  • 1Carmichael P, Poola J, John I, et al. Assessment of quality life in a single centre dialysis population using the KDQOL-SFTM questionaire. Qual Life Res, 2000, 9: 195-205.
  • 2Brazier JE, Harper R, Jones NMB, et al. Validating the SF-36health survey questionnaire: new outcome measure for primary care. Br Med J, 1992, 305: 160-164.
  • 3Maor Y, King M, Olmerand L, et al. A comparison of three methods, the time trade-off technique, global healthy related quality of life and the SF-36 in dialysis patients. Clin Epidemiol,2001,54: 565-570.
  • 4Rao S, Carter WB, Mapes DL, et al. Development of subscales from the symptom/problem and effect of kidney disease scales of kidney disease quality of life instrument. Clin Ther, 2000, 22:1099-1111.
  • 5Maruschka P, Merkus M, Jager J, et al. Quality of life in patients on chronic dialysis: self-assessment 3 months after the start of treatment. Am J Kidney Dis, 1997, 29: 584-592.
  • 6Hyodo T, Yamamoto S, Inoguchi Y, et al. Individual application of the kidney disease quality of life instruments to monitor the healthy status of dialysis patients. Nephron, 2000, 86:391-392.
  • 7Hays RD, Kallich JD, Mapes DL, et al. Development of the kidney disease quality of life (KDQOL) instrument. Qual Life Res, 1994,3: 329-338.
  • 8Meys KB, Espindle DM, Degiacomo JM, et al. Monitoring dialysis patients, health status. Am J Kidney Dis, 1994,24: 267-279.
  • 9Mittal SK, Ahern L, Flaster E,et al. Self assessed quality of life in peritoneal dialysis patients. Am J Nephrol,2001,21:215-220.
  • 10Neto JFR, Ferraz MB, Cenderoglo M, et al. Quality of life at the initiation maintenance dialysis treatment-a comparison between SF-36 and KDQ questionnaire. Qual Life Res,2000, 9: 101-107.

共引文献86

同被引文献29

引证文献2

二级引证文献10

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