营养干预对维持性血液透析患者营养状况的影响  

EFFECTS OF NUTRITION INTERVENTION ON MAINTENANCE HEMODIALYSIS PATIENTS NUTRITION

作　　者：任蓓[1] 田小莲[1] 莫伯善[1] 

机构地区：[1]湖南省人民医院,长沙410005

出　　处：《现代预防医学》2009年第20期3852-3854,共3页Modern Preventive Medicine

摘　　要：[目的]探讨营养干预对维持性血液透析(MHD)患者营养状况的影响。[方法]对40例维持性血液透析(MHD)患者实施为期1年的营养干预,对饮食中蛋白质及总热量的摄入与各项营养指标,包括干体重(DBW)、肱三头肌皮褶厚度(TSF)、上臂围(MAC)、上臂肌围(MAMC)、白蛋白(ALB)、前白蛋白(PA)、转铁蛋白(TF)、总胆固醇(CHO)、血红蛋白(HB)及主观综合性营养评分(SGA)进行营养干预前后的自身对照及指标间的相关分析。[结果]营养干预后,随着蛋白质及热量摄入的增加,各项营养指标除TF和CHO外,均呈显著提高(P﹤0.05)。[结论]对维持性血液透析患者(MHD)进行常规的营养评价及合理的营养干预对预后有着深远的临床意义。[ Objective] To investigate effects of nutrition intervention on nutritional status in maintenance hemodialysis patients. [ Methods] 40 maintenance hemodialysis patients were consulted on nutrition intervention for one year. The correlation was analyzed before and after treatment between protein intake, total energy intake and index of nutrition, which include DBW, TSF, MAC, MAMC, HB, SGA and level of PA, TF, CHO in serum. [Results] Index of nutrition were significandy increased except TF and TCH after treatment （P 〈 0.05）. [Conclusion] Regular nutrition assessment and nutrition intervention are very important for the better clinical outcome in hemodialysis patients.

关 键 词：维持性血液透析 营养状况 营养干预 

分 类 号：R459.5[医药卫生—治疗学]