腹膜透析病人身体脂肪分布状况的研究  

Study on the fat distribution for patients with peritoneal dialysis

作　　者：路潜[1] 万劼[2] 廖兰兰[2] 李可基[1] 

机构地区：[1]北京大学公共卫生学院营养与食品卫生系 [2]北京大学护理学院

出　　处：《护士进修杂志》2008年第10期876-878,共3页Journal of Nurses Training

摘　　要：目的了解腹膜透析病人身体脂肪分布状况及特点,为临床营养护理提供依据。方法采用人体测量、体成分分析仪对136名腹膜透析病人进行测定。结果根据体质指数评定,51.47%的病人超重或肥胖。根据体成分分析仪,总体脂肪率与内脏脂肪水平超标率分别为64.71%和65.44%。女性病人总体脂肪率高于男性,而内脏脂肪水平低于男性。体质指数不能准确反映病人的脂肪分布状况。结论应当关注腹膜透析病人脂肪过多的问题,建议应用体成分分析仪监测腹膜透析病人的脂肪变化情况。Objective To understand the characteristics of the fat distribute for patients with peritoneal dialysis, and to provide the basis data for clinical nutritional intervention. Method 136 patients with peritoneal dialysis were selected in this study. Anthropometric and body composition analytical methods were used to collect the data. Result According to body mass index, 51.6% patients were overweight or obese. According to results of body composition analytical instrument, 60. 71% patients＂ overall fat rates were abnormal, and 65.44% patients＂ visceral fat levels were abnormal. The overall fat rate of female patients was higher than that of male patients, whereas the visceral fat levels of female patients was lower than that of male patients. The body mass index is not a precise indication as the fat distribution for patients with peritoneal dialysis. Conclusion More attention should be paid to the fat accumulation of patients with peritoneal dialysis. Body composition analytical methods could be used to inspect the fat accumulation of those patients.

关 键 词：腹膜透析 脂肪分布 体成分分析 生物电阻抗 

分 类 号：R471[医药卫生—护理学] R459.5[医药卫生—临床医学]