CAJ | 학술논문

目的：探讨透析间期体重增长（IDWG）对维持性血液透析（MHD）患者营养状况的影响并分析相关因素。方法：选取ESRD接受MHD患者71例，根据患者透析间期平均体重变化（IDWG）分两组：控制良好者为A组（平均IDWG%<3.5%），控制不良者为B组（平均IDWG%≥3.5%），分别检测每次透析间期体重增长（IDWG）、干体重（DW）、体重指数BMI、人体学指标、实验室指标。结果：观察1年后A、B两组DW、BMI比较差异有统计学意义，人体学指标比较差异有统计学意义，实验室指标比较HB、RBC、TC、TG、LPɑ、HCO-3、nPCR、SPKT/V、ALB、CRP差异有统计学意义（P<0.05）；Ca、P、iPTH、BS、GHB比较差异无统计学意义。结论：血液透析患者营养不良的发生率较高，IDWG控制良好者可减少MHD患者营养不良的发生，控制不良者促进MHD患者营养不良的发生。
목적：탐토투석간기체중증장（IDWG）대유지성혈액투석（MHD）환자영양상황적영향병분석상관인소。방법：선취ESRD접수MHD환자71례，근거환자투석간기평균체중변화（IDWG）분량조：공제량호자위A조（평균IDWG%<3.5%），공제불량자위B조（평균IDWG%≥3.5%），분별검측매차투석간기체중증장（IDWG）、간체중（DW）、체중지수BMI、인체학지표、실험실지표。결과：관찰1년후A、B량조DW、BMI비교차이유통계학의의，인체학지표비교차이유통계학의의，실험실지표비교HB、RBC、TC、TG、LPɑ、HCO-3、nPCR、SPKT/V、ALB、CRP차이유통계학의의（P<0.05）；Ca、P、iPTH、BS、GHB비교차이무통계학의의。결론：혈액투석환자영양불량적발생솔교고，IDWG공제량호자가감소MHD환자영양불량적발생，공제불량자촉진MHD환자영양불량적발생。
Objective: To explore the influence of the intermediate dialysis weight change of maintenance hemodialysis patients and analyze correlative factor of the malnutrition.Method: 71 patients with the end-stage renal disease who requiring maintenance hemodialysis were selected. All patients were divided two groups according to the intermediate dialysis weight change. To detect the indexes respectively. The dry weight (DW), intermediate dialysis weight growth, the change of DW and BMI anthropometric indicators.Result: There were statistically significant of the DW, BMI, between group A and B after 12 months later. There were statistically significant differences in HB, RBC, TC, TG, LPɑ, HCO-3, nPCR, SPKT/V, ALB, and CRP between group A and B, while there were no statistically significant differences in Ca, P, iPTH, BS, GHB.Conclusion: IDWG has advancing effect to the malnutrition of maintenance hemodialysis patients. Correlation with hypertension, hyperlipemia and chronic inflammation state could enhance malnutrition through hypertension, hyperlipemia and chronic inflammation state.