糖尿病肾病腹膜透析患者营养状态及住院率分析  

作　　者：余桂贵 王英[1] 黄美春[1] 鲁盈[1] 

机构地区：[1]浙江省立同德医院,310012

出　　处：《浙江临床医学》2022年第8期1173-1174,1178,共3页Zhejiang Clinical Medical Journal

摘　　要：目的 探讨糖尿病肾病患者接受持续不卧床腹膜透析(CAPD)后,营养状况和住院率的变化.方法 将63例腹膜透析患者按照原发病分为糖尿病肾病组与非糖尿病肾病组,对其营养、血脂、炎症等指标及每年住院率进行分析.结果 糖尿病肾病组患者血红蛋白、血清白蛋白、前白蛋白、胆固醇及甘油三酯水平均明显低于非糖尿病肾病组(P<0.01),糖尿病肾病组住院率显著高于非糖尿病肾病组(P<0.01).两组间白介素-6(IL-6)、铁蛋白无统计学差异(P>0.05).结论 糖尿病肾病患者接受腹膜透析后营养更差、血脂更低、住院率更高.Objective To investigate the nutrtional status and hospitalization rate of diabetic nephropathy patients with continuous ambulatory peritoneal dilyis(CAPD),Methods 63 peritoneal dialyispatiets were divided into non-diabetic nephropathy group and diabetic nephropathy group according to the primary diease.The nutrition,blood lipid,inflammation and annual hospitalization rate of the two groups were analyzed.Results On the basis of the detection of diabetic patients,it was found that the levels of hemoglobin,serum albumin,prealbumin,cholesterol and triglyceride in the two groups were sigifcantly lower than those in the non-diabetic nephropathy group(P<0.01).The hospitalization rate of diabetic nephropathy group was significantly higher than that of non-diabetic nephropathy group(P<0.01).There was no significant difference in inflammatory indexes such as IL-6 and feritin between the two groups(P>0.05).Conclusion After receiving peritoneal dialysis,patients with diabetes nephropathy have poorer nutrition,lower blood lipids and higher hospitalization rate.

关 键 词：营养不良 住院率 腹膜透析 糖尿病肾病 

分 类 号：R587.2[医药卫生—内分泌] R692.9[医药卫生—内科学]