中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
22期
68-71
,共4页
黄静雅%谢雪锋%李小梅%杨素琼%贾磊%郑桂琼
黃靜雅%謝雪鋒%李小梅%楊素瓊%賈磊%鄭桂瓊
황정아%사설봉%리소매%양소경%가뢰%정계경
腹膜透析%蛋白能量消耗%生存率%瘦体质量%标准化蛋白氮呈现率
腹膜透析%蛋白能量消耗%生存率%瘦體質量%標準化蛋白氮呈現率
복막투석%단백능량소모%생존솔%수체질량%표준화단백담정현솔
Peritoneal dialysis%Protein-energy wasting%Survival rate%Lean body mass%Normalized protein nitrogen presentation rate
目的 回顾性分析腹膜透析(peritoneal dialysis,PD)患者蛋白营养指数(PNI)与生存情况的关系.方法 回顾性分析本院2003年1月至2014年1月进行PD治疗的慢性肾脏疾病患者各项临床和检验指标.PNI评分由ALB、nPNA、LBM 3项指标决定.根据PNI评分将PD患者分成4组:营养状态良好、营养状态一般、营养状态较差、蛋白能量消耗(PEW)状态.采用线性回归分析法分析PNI的决定因素,Kaplan-Meier分析PD患者蛋白营养状态与生存率的关系,Cox回归法分析PD患者的生存危险因素.结果 年龄、并发症指数、血清Cr、K-Kt/V、T-Kt/V都与患者PNI有线性关系.4组的5年生存率分别为95%、92%、65%、23%.PD患者生存危险因素有年龄、并发症指数、PNI.结论 根据PNI评分评估PD患者的蛋白营养状态是可以预测患者的生存情况的,PNI评分越高其生存率越高.
目的 迴顧性分析腹膜透析(peritoneal dialysis,PD)患者蛋白營養指數(PNI)與生存情況的關繫.方法 迴顧性分析本院2003年1月至2014年1月進行PD治療的慢性腎髒疾病患者各項臨床和檢驗指標.PNI評分由ALB、nPNA、LBM 3項指標決定.根據PNI評分將PD患者分成4組:營養狀態良好、營養狀態一般、營養狀態較差、蛋白能量消耗(PEW)狀態.採用線性迴歸分析法分析PNI的決定因素,Kaplan-Meier分析PD患者蛋白營養狀態與生存率的關繫,Cox迴歸法分析PD患者的生存危險因素.結果 年齡、併髮癥指數、血清Cr、K-Kt/V、T-Kt/V都與患者PNI有線性關繫.4組的5年生存率分彆為95%、92%、65%、23%.PD患者生存危險因素有年齡、併髮癥指數、PNI.結論 根據PNI評分評估PD患者的蛋白營養狀態是可以預測患者的生存情況的,PNI評分越高其生存率越高.
목적 회고성분석복막투석(peritoneal dialysis,PD)환자단백영양지수(PNI)여생존정황적관계.방법 회고성분석본원2003년1월지2014년1월진행PD치료적만성신장질병환자각항림상화검험지표.PNI평분유ALB、nPNA、LBM 3항지표결정.근거PNI평분장PD환자분성4조:영양상태량호、영양상태일반、영양상태교차、단백능량소모(PEW)상태.채용선성회귀분석법분석PNI적결정인소,Kaplan-Meier분석PD환자단백영양상태여생존솔적관계,Cox회귀법분석PD환자적생존위험인소.결과 년령、병발증지수、혈청Cr、K-Kt/V、T-Kt/V도여환자PNI유선성관계.4조적5년생존솔분별위95%、92%、65%、23%.PD환자생존위험인소유년령、병발증지수、PNI.결론 근거PNI평분평고PD환자적단백영양상태시가이예측환자적생존정황적,PNI평분월고기생존솔월고.
Objective To analyze retrospectively the relationship between protein nutrition index (PNI) and survival conditions in patients with peritoneal dialysis (PD).Methods Various clinical and laboratory indexes of patients with chronic kidney disease from January 2004 to January 2014 were analyzed retrospectively.PNI score was determined by serum albumin (ALB),normalized protein nitrogen presentation rate (nPNA),lean body mass (LBM).According to PNI score,PD patients were divided into four groups:good nutrition status,nutrition status in general,poor nutrition,PEW status.Linear regression analysis was used to analyze determine factors of PNI;analysis of Kaplan-Meier was applied to examine relationship between the protein nutrition status and survival rate;COX regression analysis was used to analyze the risk factors for survival in patients with PD.Results All the indexes,age,complications index,serum Cr,K-Kt/V,T-Kt/V had a linear relationship with PNI.5-year survival rate in the four groups were respectively 95%,92%,65%,23%.Age,complications,PNI index were the survival risk factors of PD patients.Conclusions According to PNI score,evaluation of protein nutritional status of patients with PD could predict survival conditions of PD patients,the higher PNI score,the higher survival rate.