人体成分分析用于评估维持性血液透析患者营养状态的效果分析

Human component analysis was used to assess the nutritional status of mai ntenance hemodialysis patients

目的:探讨并分析对接受维持性血液透析的患者进行人体成分分析对评估其营养状态的效果。方法:选择近年来在绵阳市中心医院进行维持性血液透析的80例慢性肾功能衰竭患者作为研究对象。将其中29例营养不良患者作为观察组,将其中51例营养状态良好的患者作为对照组。对两组患者均进行人体成分分析、生化指标检测及人体形态测量,然后比较其各项指标的水平。结果:对两组患者进行人体成分分析的结果显示,观察组患者的瘦组织指数(LTI)小于对照组患者,其脂肪组织指数(FTI)大于对照组患者,P<0.05。对两组患者进行生化指标检测的结果显示,观察组患者的上臂肌围(MAMC)小于对照组患者,P<0.05;两组患者的握力及肱三头肌皮褶厚度相比,P>0.05。对两组患者进行生化指标检测的结果显示,观察组患者血清超敏C反应蛋白(hs-CRP)的水平高于对照组患者,其血清肌酐(Scr)、总胆固醇(TC)和白蛋白(ALB)的水平低于对照组患者,P<0.05;两组患者血红蛋白(Hb)及血清甘油三酯(TG)的水平相比,P>0.05。结论:对接受维持性血液透析的患者进行人体成分分析可评估其营养状态。

Objective:To investigate and analyze the effect of human component analysis on nutritional status assessment of patients undergoing maintenance hemodialysis.Methods:80 patients with chronic renal failure who underwent maintenance hemodialysis in Mianyang Central Hospital in recent years were selected as the research objects.Twenty-nine patients with malnutrition were used as observation group,and 51 patients with good nutrition were used as control group.The two groups of patients were analyzed for human body composition,biochemical index detection and human body morphology measurement,and then the levels of each index were compared.Results:The body composition analysis of the two groups of patients showed that the thin tissue index(LTI)and fat tissue index(FTI)of the observation group were lower than those of the control group(P<0.05).The results of biochemical index detection in the two groups showed that the upper brachial muscle circumference(MAMC)in the observation group was smaller than that in the control group(P<0.05).The comparison of grip strength and triceps skin fold thickness between the two groups was P>0.05.The results of biochemical test of the two groups of patients showed that the levels of serum hypersensitive C-reactive protein(HS-CRP)in the observation group were higher than those in the control group,and the levels of serum creatinine(Scr),total cholesterol(TC)and albumin(ALB)in the observation group were lower than those in the control group(P<0.05).The levels of hemoglobin(Hb)and serum triglyceride(TG)in the two groups were compared,and P>0.05.Conclusion:The nutritional status of patients receiving maintenance hemodialysis can be evaluated by human component analysis.