西北国防医学杂志
西北國防醫學雜誌
서북국방의학잡지
MEDICAL JOURNAL OF NATIONAL DEFENDING FORCES IN NORTHWEST CHINA
2001年
2期
148-150
,共3页
腹膜透析%膳食管理%营养状态
腹膜透析%膳食管理%營養狀態
복막투석%선식관리%영양상태
目的：通过膳食管理，观察持续不卧床腹膜透析(CAPD)的营养状态及对透析充分性的影响。方法：17例CAPD患者采取制定饮食标准，强化饮食治疗6个月，营养指标及透析充分性每月随访检查1次。结果：饮食治疗后患者体重增加，精神改善，乏力减轻；主观综合性营养评估(SGA)可见营养不良患者明显减少(P＜0.05)；Tp，Pa，Tf，Alb，Hb，Hct，Tg，Bun明显提高(P＜0.05)，标准蛋白分解率(nPCR)及KT／V明显增加(P＜0.05)。结论：合理膳食能改善CAPD效果，减少营养不良发生率，提高腹膜透析充分性。
目的：通過膳食管理，觀察持續不臥床腹膜透析(CAPD)的營養狀態及對透析充分性的影響。方法：17例CAPD患者採取製定飲食標準，彊化飲食治療6箇月，營養指標及透析充分性每月隨訪檢查1次。結果：飲食治療後患者體重增加，精神改善，乏力減輕；主觀綜閤性營養評估(SGA)可見營養不良患者明顯減少(P＜0.05)；Tp，Pa，Tf，Alb，Hb，Hct，Tg，Bun明顯提高(P＜0.05)，標準蛋白分解率(nPCR)及KT／V明顯增加(P＜0.05)。結論：閤理膳食能改善CAPD效果，減少營養不良髮生率，提高腹膜透析充分性。
목적：통과선식관리，관찰지속불와상복막투석(CAPD)적영양상태급대투석충분성적영향。방법：17례CAPD환자채취제정음식표준，강화음식치료6개월，영양지표급투석충분성매월수방검사1차。결과：음식치료후환자체중증가，정신개선，핍력감경；주관종합성영양평고(SGA)가견영양불량환자명현감소(P＜0.05)；Tp，Pa，Tf，Alb，Hb，Hct，Tg，Bun명현제고(P＜0.05)，표준단백분해솔(nPCR)급KT／V명현증가(P＜0.05)。결론：합리선식능개선CAPD효과，감소영양불량발생솔，제고복막투석충분성。
Objective:To investigate the influence of nutritional state and dialysis adequacy on CAPD patients by dietary management.Methods:Dietary standards were made and dietetic treatment were strengthened for 6 months on 17cases of CAPD patients.The nutritional indexes and dialysis adequacy were followed up to be examined once a month.Results:After dietetic treatment it was found that body weight of patients increased,mind got better and weakness was reduced;it was showed by SGA that the amount of malnutrition patients decreased significantly(P＜0.05)；Tp，Pa，Tf，Alb，Hb，Hct，Tg,Bun increased significantly (P＜0.05)； and nPCR and KT／V improved significantly(P＜0.05).Conclusion:Reasonable dietary can improve the effect of CAPD,reduce the happening rate of malnutrition and increase peritoneal dialysis adequacy.
