血液透析对尿毒症患者身体成分及能量消耗的影响结果分析

Effects of hemodialysis on body composition and energy consumption of patients with uremia

目的:研究探讨了血液透析对尿毒症患者身体成分及能量消耗的影响情况。方法:对2015年3月-2016年1月在我院接受血液透析的60例尿毒症患者治疗前后的身体成分和静息能量消耗情况进行体检并记录,观察的身体成分指标包括体质量、骨骼肌、瘦体组织、脂肪,而能量消耗指标为静息能量消耗。结果:治疗前后患者的体质量、骨骼肌、瘦体组织等指标数据依次分别为(64.2±10.6)和(62.9±10.1)、(27.8±5.8)和(26.5±5.2)、(44.5±9.5)和(42.1±8.2),数据间具有显著性差异(P<0.01),但治疗前后脂肪数据为(17.9±3.9)和(18.3±4.1),不具有显著性差异(P>0.05);治疗前患者的REE(6573±948)和HB-REE(6681±642)间不存在显著性差异(P>0.05),治疗后患者的REE(7429±1577)与HB-REE(6182±641)间或治疗前REE(6573±948)间均存在显著性差异(P<0.01)。结论:尿毒症患者进行血液透析会引起部分身体成分和能量的耗损,应该进行及时合理的营养支持以保证相对较好的生存质量。

Objective:To study effects of hemodialysis on body composition and energy consumption of patients with uremia.Methods:Body composition and static breath energy consumption of60cases who received hemodialysis in our hospital were recordedbefore and after treatment.The body quality,skeletal muscle and lean body tissue,fat of body composition indexes were observed.Theenergy consumption index is resting energy index.Results:The differeces of body quality,skeletal muscle and lean body tissue indexdata were significant between before and after treatment[(64.2±10.6)VS(62.9±10.1),(27.8±5.8)VS(26.5±5.2),(44.5±9.5)VS(42.1±8.2),P<0.01].Fat data before and after treatment were(17.9±3.9)and(18.3±4.1),with no significant difference(P>0.05).Beforetreatment,REE was(6573±948);HB-REE was(6681±642),with no significant difference(P>0.05).After treatment,compared withREE of(7429±1577),there were significant differences between HB-REE of(6182±641)and before treatment(P<0.01).Conclusion:Hemodialysis will cause part of body composition and energy loss,timely and reasonable nutrition support should be given to ensure arelatively good quality of life.