维持性血液透析患者蛋白质能量消耗营养评估方式的研究进展

A review of nutritional screening and assessment tools for protein-energy wasting in maintenancehemodialysis patients

维持性血液透析患者(MHD)大多存在蛋白质能量消耗(PEW)。PEW是MHD患者死亡的独立危险因素,与MHD患者的不良预后及生活质量密切相关。PEW的发生机制目前尚不清楚。文章通过对既往涉及PEW评估文献进行回顾与分析,主要通过单因素和多因素评估指标对目前常用的评估方式及其各自优劣进行综述。

Most of the maintenance hemodialysis patients(MHD)have a risk of protein energy waste(PEW).PEW is not only an independent risk factor for death,but also closely related to poor prognosis and quality of life in patients with MHD.At present,the mechanism of PEW is still unknown,so there are many ways to screen and assess it.This paper reviews the commonly used evaluation tools and their respective advantages and disadvantages through single and multiple factors.