中国食物与营养
中國食物與營養
중국식물여영양
Food and Nutrition in China
2011年
12期
79-81
,共3页
血液透析%营养评价%营养不良
血液透析%營養評價%營養不良
혈액투석%영양평개%영양불량
hemodialysis%nutrition evaluation%malnutrition
目的：了解血液透析患者的营养状况,探讨患者热能和蛋白质摄入与营养不良的关系为临床治疗提供参考。方法：采用膳食记录和24h回顾法对血液透析患者进行连续3d的膳食调查,运用主观综合评价、身体测量和生化检测等方面对在我院血液透析的72名患者进行综合评价。结果：SGA评价营养正常39例,占54.2%。营养不良33例,占45.8%。其中轻中度营养不良27例,占37.5%;重度营养不良6例,占8.3%。营养状态正常组与轻中度营养不良相比较,在年龄、透析时间、体重指数、上臂中围、标准体重每日蛋白质摄入、血浆白蛋白差异有统计学意义。营养正常组与重度营养不良相比较除上述差异外与每日标准体重能量摄入、血红蛋白差异有统计学意义。结论：透析患者营养不良的发生率较高;营养不良的发生与透析时间、每日能量与蛋白质摄入有关。
目的：瞭解血液透析患者的營養狀況,探討患者熱能和蛋白質攝入與營養不良的關繫為臨床治療提供參攷。方法：採用膳食記錄和24h迴顧法對血液透析患者進行連續3d的膳食調查,運用主觀綜閤評價、身體測量和生化檢測等方麵對在我院血液透析的72名患者進行綜閤評價。結果：SGA評價營養正常39例,佔54.2%。營養不良33例,佔45.8%。其中輕中度營養不良27例,佔37.5%;重度營養不良6例,佔8.3%。營養狀態正常組與輕中度營養不良相比較,在年齡、透析時間、體重指數、上臂中圍、標準體重每日蛋白質攝入、血漿白蛋白差異有統計學意義。營養正常組與重度營養不良相比較除上述差異外與每日標準體重能量攝入、血紅蛋白差異有統計學意義。結論：透析患者營養不良的髮生率較高;營養不良的髮生與透析時間、每日能量與蛋白質攝入有關。
목적：료해혈액투석환자적영양상황,탐토환자열능화단백질섭입여영양불량적관계위림상치료제공삼고。방법：채용선식기록화24h회고법대혈액투석환자진행련속3d적선식조사,운용주관종합평개、신체측량화생화검측등방면대재아원혈액투석적72명환자진행종합평개。결과：SGA평개영양정상39례,점54.2%。영양불량33례,점45.8%。기중경중도영양불량27례,점37.5%;중도영양불량6례,점8.3%。영양상태정상조여경중도영양불량상비교,재년령、투석시간、체중지수、상비중위、표준체중매일단백질섭입、혈장백단백차이유통계학의의。영양정상조여중도영양불량상비교제상술차이외여매일표준체중능량섭입、혈홍단백차이유통계학의의。결론：투석환자영양불량적발생솔교고;영양불량적발생여투석시간、매일능량여단백질섭입유관。
【Objective】To understand the nutritional status of hemodialysis patients and probe the relationship between heat energy and protein intake and malnutrition,so that to provide reference for clinical treatment.【Method】Dietary survey was taken on patients for 3d with diet records and 24h dietary recall.We made a comprehensive evaluation to 72 hemodialysis patients in our hospital with subjective evaluation,physical measurements and biochemical tests,and so on.【Result】 We evaluated nutritional status of patients with SGA.A total of 39 cases with normal nutrition accounted for 54.2%,33 cases with malnutrition accounted for 45.8%,in which 27 cases of mild to moderate malnutrition accounted for 37.5% and 6 cases of severe malnutrition accounted for 8.3%.Normal nutrition group and mild to moderate malnutrition group had significantly difference in age,dialysis duration,body mass index,upper arm circumference,the standard body weight daily protein intake,and serum albumin.Normal nutrition group and severe malnutrition group had significantly statistical difference in standard body weight and daily energy intake and hemoglobin beside the difference above.【Conclusion】The high incidence of malnutrition was in hemodialysis patients.The generation of malnutrition had relationship with the daily energy and protein intake and dialytic duration.
