血透患者微量元素营养状况初步探讨

Investigation on the Trace Elements Nutrition of Patients with Hemodialysis

对门诊维持性血透肾衰患者进行了膳食营养调查。结果表明 :(1)在临床检查中发现 ,血透肾衰患者面黄肌瘦 ,面色苍白 ,浮肿 ,疲劳 ;体质虚弱 ,四肢无力 ;精神不振 ,具有明显的营养不良的临床表现。 (2 )在膳食调查中发现 ,每人每日营养素摄入量为蛋白质 4 1 54mg ,热量 52 88kJ ,钙 10 4mg、铁 4 86mg和锌 8 86mg、硒 35μg、铜 2 2 8mg、锰 2 86mg、镁76 50mg、磷 4 4 8mg、钾 752mg和钠 1385 4mg ;视黄醇当量 36 8μg、vitaminB10 58mg、vi taminB2 0 39mg、vitaminC 51mg、vitaminPP 12 6 0mg和vitaminE 0 38mg。提示血透肾衰患者蛋白质 -热量营养不良 ,K、Na过量 ,而Ca、Mg、P等宏量元素和Zn、Cu、Fe、Mn、Se等微量元素和RE、vitaminB1、vitaminB2 、vitaminC均未达到RDA要求。原因是主食营养不平衡。因此 ,建议对血透肾衰患者进食主食营养平衡米 (NBR)和制订平衡食谱 ,开展透析日营养治疗和病人家庭营养治疗。改善血透肾衰患者微量元素营养状况。

The meal nutrition was investigated on the patients with preserving renal failure by hemodialysis It was found that the patients with hemodialysis were lean and haggard,look pale,dropsy,weary;with a poor constitution;weak in one’s limbs;listless;with a clinical manifestation with the malnutrition of the clear The nutrients were talen by every patient daily and separately:the protein 41 5 g,calory 5288 kJ,Ca 104 mg,Fe 4 86 mg,Zn 8 86 mg and Se 35 μg,Cu 2 28 mg,Mn 2 86 mg,Mg 76 50 mg,P 448 mg,K 752 mg adn Na 1385 4 mg;the RE 368 μg and vitamin B 1 0 58 mg,vitamin B 2 0 39 mg,vitaminC 51 mg,vitaminPP 12 60 mg,and vitaminE 10 38 mg.The result showed the contract renal failure by the hemodialysis were malnutritiond of protein-calory and over-dose of K and Na They did not reach RDA requirement for the macro elements Ca,Mg,P,the trace elements Zn,Cu,Fe,Mn,Se and RE,vitamin B 1,vitamin B 2,vitamin C Therefore,it was proposed to take NBR and balance diet and carry on nutritional treatments on the pentrate analysis day and in the family