CAJ | 학술논문

目的：调查连续性不卧床腹膜透析( CAPD)患者的营养和每日蛋白质摄入状况，分析CAPD患者营养不良的相关因素。方法：2012年6月~2013年6月来本院161例CAPD患者的营养状况进行横断面调查，内容包括改良定量主观整体评估量表、体重指数和实验室检查，通过饮食日记法，了解患者每日蛋白质摄入状况，对调查结果进行统计分析。结果：CAPD患者营养不良发生率高，营养不良的发生与透析龄呈正相关，与工作状态、DPI、血清白蛋白、血红蛋白、红细胞和红细胞压积呈负相关(P<0.05)。结论：CAPD患者的营养状况受多因素的影响，医务人员应重视评估腹膜透析患者的营养状况，针对患者不同情况实施营养干预。
목적：조사련속성불와상복막투석( CAPD)환자적영양화매일단백질섭입상황，분석CAPD환자영양불량적상관인소。방법：2012년6월~2013년6월래본원161례CAPD환자적영양상황진행횡단면조사，내용포괄개량정량주관정체평고량표、체중지수화실험실검사，통과음식일기법，료해환자매일단백질섭입상황，대조사결과진행통계분석。결과：CAPD환자영양불량발생솔고，영양불량적발생여투석령정정상관，여공작상태、DPI、혈청백단백、혈홍단백、홍세포화홍세포압적정부상관(P<0.05)。결론：CAPD환자적영양상황수다인소적영향，의무인원응중시평고복막투석환자적영양상황，침대환자불동정황실시영양간예。
To investigate the level of nutritional status and daily protein intake in patients with continuous ambulatory peritoneal dialysis,to ana-lyze the factors influencing nutrition. Methods:161 patients with continuous ambulatory peritoneal dialysis stablely were estimated the level of nutritional sta-tus with modified quantitativesubjective global assessment ( MQSGA) ,body mass index and venous blood biochemical test in a cross-sectional surveyed, and investigated daily protein intake (DPI) with 3rd diet diary. Results:Rate of malnutrition in peritoneal dialysis patients was in high degree,correlation a-nalysis showed that the occurrence of malnutrition was positive associated with dialysis-age,and work status,DPI,serum albumin,hemoglobin,RBC and hematocrit was negative (P<0. 05). Conclusion:Malnutrition is affected by many factors,medical personnel should attach importance to assess the nutrition-al status of peritoneal dialysis patients,and perform different nutrition interventions for patients with different situations.