摘要
目的:评估糖尿病肾病(DN)病人的营养状况,探讨其与血清胱抑素C(CysC)水平的相关性。方法:调查DN的住院病人73例,采用膳食调查、体格检查、实验室检查、主观全面性营养评估(SGA)法综合评价病人的营养状况,根据营养评价结果分为营养良好组(A组),轻-中度营养不良组(B组)和重度营养不良组(C组),所得数据经软件统计分析各组病人的CysC水平差异。结果:被调查DN病人中营养不良发生率为74.7%,血CysC水平与血红蛋白、清蛋白、肱三头肌皮皱厚度、淋巴细胞计数呈负相关。结论:DN病人的营养不良发生率较高,与DN肾功能损害程度、膳食结构不合理密切相关。其营养状况与血CysC水平存在相关性。DN病人血CysC水平升高者尽早进行营养干预,防止或减缓营养不良和其他并发症的发生。
Objective:To evaluate the nutritional status of patients with diabetic nephropathy (DN),and to explore its relationship with serum cystatin C (cystatin C) levels.Methods:73 patientswith DN were studied using 24 h dietary survey,physical measurements,laboratory tests and subjective global assessment (SGA) method to determine the nutritional status,and the cystatin C was determined.Results:Malnutrition 74.7% in the DN patients.Serum CysC was negatively correlated with hemoglobin,albumin,triceps skinfold thickness and lymphocyte count.Conclusion:The incidence of malnutrition is higher in patients with DN.The nutritional status and Serum CysC is correlated.
出处
《肠外与肠内营养》
CAS
北大核心
2014年第5期282-284,288,共4页
Parenteral & Enteral Nutrition
关键词
糖尿病肾病
营养调查
营养评估
胱抑素C
Diabetic nephropathy
Nutrition examination survey
Nutritional assessment
Cystatin C