维持性血液透析患者背力与营养状态的相关性

Study on the Correlation between Back Strength and Nutritional Status in Maintenance Hemodialysis Patients

【目的】探讨维持性血液透析(MHD)患者背力与营养状态的相关性。【方法】选取两院收治的105例MHD患者作为研究对象,根据患者背力水平将其分为高背力组和低背力组,分别通过改良定量整体主观评估表(MQSGA)、营养不良炎症评分表(MIS)及血清蛋白水平及营养指标评估两组患者营养状态。观察两组患者营养状态评分、分子水平营养状态、整体水平营养状态及背力与营养状态的差异。【结果】高背力组MQSGA和MIS评分均高于低背力组(P<0.05);高背力组患者白蛋白(ALB)、前白蛋白(PAB)、转铁蛋白(TRF)、总蛋白(TP)水平均高于低背力组(P<0.05);高背力组患者体重指数(BMI)、肱三头肌皮肤褶皱厚度(TSF)、上臂肌围(AMC)大于低背力组(P<0.05);Spearman秩相关分析结果显示,MHD患者背力与营养状态评分呈负相关,与分子水平和整体水平营养状态呈正相关(P<0.05)。【结论】MHD患者背力与营养状态密切相关,临床针对患者病情开展个性化营养支持方案,对提高其背力、改善生活质量具有重要意义。

【Objective】To explore the correlation between maintenance hemodialysis(MHD)patients'back strength and nutritional status.【Methods】A total of 105 MHD patients admitted to two hospitals were selected in the study.The patients were divided into two groups(high and low back strength)according to their back strength levels.Then,the Modified Quantitative Subjective Global Assessment(MQSGA),Malnutrition-Inflammation Score(MIS),serum protein levels'detection and nutritional index detection were used to evaluate the nutritional status of the two groups of patients.The nutritional status scores,molecular nutritional status,and overall nutritional status were observed in the two groups,and the correlation between back strength and nutritional status were analyzed.【Results】The scores of MQSGA and MIS in the high back strength group were higher than those in the low back strength group(P<0.05).Levels of Albumin(ALB),Prealbumin(PAB),Transferrin(TRF),and Total Protein(TP)in the high back strength group were higher than those in the low back strength group(P<0.05).The Body Mass Index(BMI),Triceps Skinfold(TSF)and Arm Muscle Circumference(AMC)of the patients in the high back strength group were greater than those in the low back strength group(P<0.05).Spearman rank correlation analysis showed that the back strength of maintenance hemodialysis patients was negatively correlated with nutritional status score,and positively correlated with molecular level and overall nutritional status indicators(P<0.05).【Conclusion】There is a close relationship between the back strength of MHD patients and the nutritional status.Therefore development of personalized nutritional support programs based on the patient's condition is of great significance for improving back strength and improving the quality of life.