血液透析患者营养不良-炎症综合征与生存质量的相关性

Correlation between malnutrition inflammation complex syndrome and quality of life in hemodialysis patients

目的调查血液透析患者营养不良-炎症综合征(MICS)现状,分析其与生存质量的相关性。方法选取2017年10月至2019年10月本院进行血液透析患者90例为研究对象,监测血清白蛋白(Alb)水平、高敏C反应蛋白水平(hs-CRP),应用一般健康量表(SF-36)评估患者生存质量,应用营养不良-炎症评分(MIS)评估MICS程度,采用Pearson相关分析法分析MICS与生存质量间的相关性。结果本组血液透析患者MICS的发病率为100%,根据MIS评分,轻度30例,中度30例,重度30例。MIS评分与SF-36各维度及总分呈负相关(P<0.05)。结论血液透析中MICS影响生存质量,临床应采取措施增强患者的营养水平,减轻炎症反应,提高其生存质量。

Objective To investigate the current status of malnutrition inflammation complex syndrome(MICS)in hemodialysis patients and analyze their correlation with quality of life.Methods We selected 90 cases of patients undergoing hemodialysis in our hospital from October 2017 to October 2019 as the study subjects.The serum albumin(Alb)levels and high-sensitivity C-reactive protein(hs-CRP)levels were monitored.The general health scale(SF-36)was used to assess the quality of life of patients,the malnutrition inflammation score(MIS)was used to assess the degree of MICS,and Pearson correlation analysis method was used to analyze the correlation between MICS and quality of life.Results The incidence rate of MICS in hemodialysis patients of this group was 100%.According to the MIS score,there were 30 mild cases,30 moderate cases,and 30 severe cases.The MIS score was negatively correlated with each dimension and total score of SF-36(P<0.05).Conclusion The MICS affected the quality of life in hemodialysis.So the clinical measures should be taken to enhance the nutritional level of patients,reduce inflammation and improve their quality of life.