连续性不卧床腹膜透析患者营养不良的相关因素分析

Analysis the relate factors of malnutrition in peritoneal dialysis patients

目的:调查连续性不卧床腹膜透析(CAPD)患者的营养和每日蛋白质摄入状况,分析CAPD患者营养不良的相关因素。方法:2012年6月～2013年6月来本院161例CAPD患者的营养状况进行横断面调查,内容包括改良定量主观整体评估量表、体重指数和实验室检查,通过饮食日记法,了解患者每日蛋白质摄入状况,对调查结果进行统计分析。结果:CAPD患者营养不良发生率高,营养不良的发生与透析龄呈正相关,与工作状态、DPI、血清白蛋白、血红蛋白、红细胞和红细胞压积呈负相关(P<0.05)。结论:CAPD患者的营养状况受多因素的影响,医务人员应重视评估腹膜透析患者的营养状况,针对患者不同情况实施营养干预。

To investigate the level of nutritional status and daily protein intake in patients with continuous ambulatory peritoneal dialysis,to ana-lyze the factors influencing nutrition. Methods：161 patients with continuous ambulatory peritoneal dialysis stablely were estimated the level of nutritional sta-tus with modified quantitativesubjective global assessment （ MQSGA） ,body mass index and venous blood biochemical test in a cross-sectional surveyed, and investigated daily protein intake （DPI） with 3rd diet diary. Results：Rate of malnutrition in peritoneal dialysis patients was in high degree,correlation a-nalysis showed that the occurrence of malnutrition was positive associated with dialysis-age,and work status,DPI,serum albumin,hemoglobin,RBC and hematocrit was negative （P〈0. 05）. Conclusion：Malnutrition is affected by many factors,medical personnel should attach importance to assess the nutrition-al status of peritoneal dialysis patients,and perform different nutrition interventions for patients with different situations.