CAJ | 학술논문

目的：探讨血液透析（ MHD）患者营养状况及导致患者营养不良的相关因素，为营养治疗提供理论依据。方法：选取血液透析患者38例为观察组，并选择30例同期体检健康人员为对照组，分别对2组的血生化指标、人体测量学等营养状况进行评估，了解营养不良的原因。结果：对照组Alb、PA、Hb、LYM均显著高于实验组（P＜0．05），而且实验组的Scr、MAMC极显著低于对照组（P＜0．01），2组TC、TSF比较没有统计学意义（P＞0．05）。单因素分析，患者营养不良与Alb、PA、Scr呈正相关，与TC、TSF、MAMC相关性不大。结论：营养不良是透析患者常见的一种并发症，可以增加患者的病死率．及时改善MHD患者营养状况，减少病死率，提高患者的生活质量。
목적：탐토혈액투석（ MHD）환자영양상황급도치환자영양불량적상관인소，위영양치료제공이론의거。방법：선취혈액투석환자38례위관찰조，병선택30례동기체검건강인원위대조조，분별대2조적혈생화지표、인체측량학등영양상황진행평고，료해영양불량적원인。결과：대조조Alb、PA、Hb、LYM균현저고우실험조（P＜0．05），이차실험조적Scr、MAMC겁현저저우대조조（P＜0．01），2조TC、TSF비교몰유통계학의의（P＞0．05）。단인소분석，환자영양불량여Alb、PA、Scr정정상관，여TC、TSF、MAMC상관성불대。결론：영양불량시투석환자상견적일충병발증，가이증가환자적병사솔．급시개선MHD환자영양상황，감소병사솔，제고환자적생활질량。
Objective:To evaluate the nutritional status in patients on maintenance hemodialysis(MHD).Methods:38 patients on MHD were selected as test group and 30 healthy subjects from the health examination center as the controls.Biochemistry and anthropome-try parameters were collected in the two groups.Results:Compared with the healthy control the level of Alb, PA, Hb and LYM was higher than in test group.The level of Scr and MAMC was obviously higher than in test group , but the level of TC and TSF in the two group was not difference.The serum level of Alb, PA and Scr was correlated with malnutrition in patients on MHD(P<0.05), but showed no corre-lation with TC, TSF and MAMC (P>0.05).Conclusion:Malnutrition might be a common complication seen in patients on MHD, which may increase the mortality.For those patients should improved nutrition status, and improved quality of life of the patients.