摘要
目的:观察主观综合性营养评估( S G A) 对持续不卧床腹膜透析( C A P D) 患者营养状态的评估价值。方法:对23 例 C A P D患者进行 S G A,并对其中17 例接受饮食强化治疗的患者进行了6 个月前瞻性观察。结果:23 例患者中营养良好12 例(52 .2 % ) ,轻至中度营养不良9 例(39 .1 % ) ,严重营养不良2 例(8 .7 % ) 。 T P、 Alb 、 Hb 、 B U N、 T G、 Ch 及 K T/ V、n P C R、r Ccr 以及蛋白质和热量摄入等客观检查指标在 S G A 评估为营养良好与营养不良两组之间差异显著,有统计学意义;17 例饮食强化治疗后体重、上臂肌围及 T P、 Alb 、 T G、 B U N、 Hb 等显著增加( 均有统计学意义) , S G A 评估结果与各项客观指标之间的相关系数均在0 .90以上,具有显著的统计学意义。结论: S G A 营养评估法能准确反映腹膜透析患者的营养状态,是一种较为理想的评估方法。
Purpose:To study the value of evaluating nutritional status in continuous ambulatory peritoneal dialysis(CAPD) patients by subjective global assessment(SGA). Methods:SGA was used in 23 patients on CAPD,and 17 out of them accepted intensive dietary treatment and were followed up to 6 months.Results:Among these 23 cases,12(52.2%) were judged as well nourished,9(39.1%) as mildly or moderate malnourished and 2(8.7%) as seversly malnourished.There were significant differences between the well nourished and the malnourished groups including KT/V,nPCR,Ccr,TP,Alb,Hb,Ch,TG and BUN etc .Compared with before intensive dietary treatment,the SGA parameters of nutrition increased significantly in 17 cases.Moreover,SGA was well correlated with parameters of nutrition( r ≥0.90, P <0.01). Conclusion:SGA could well reflect the nutritional status of CAPD patients.It is a simple,comprehensive and unaffected method of nutritional assessment.
出处
《西北国防医学杂志》
CAS
1999年第3期191-193,共3页
Medical Journal of National Defending Forces in Northwest China
关键词
腹膜透析
营养评估
SGA
饮食疗法
Continuous ambulatory peritoneal dialysis(CAPD)
Subjective global assessment(SGA)
Dietary treatment