住院的慢性肾脏病患者营养状态及其相关因素分析

目的了解住院的慢性肾脏病（chronic kidney disease，CKD）患者营养状态，并分析其相关因素。方法统计分析402例住院的CKD患者的体质量指数（body mass index，BMI）与血红蛋白（Hb）、血清白蛋白（Alb）、血脂各组份之间的关系。结果402例慢性肾脏病患者中营养不良发生率7．46％，超重和肥胖发生率41．3％。超重组的Hb、Alb、TP、TG、ApoB高于BMI正常组，肥胖组的Hb、Alb、TP、TG、TC、ApoB、LDL-C高于BMI正常组，差异有统计学意义（P〈0．05）。营养不良组血红蛋白、总蛋白低于非营养不良组。结论住院的CKD患者有较高的超重和肥胖发生率，营养不良患者常合并贫血。

Analysis of nutritional status and assiociated factors in hospitalized chronic kidney disease patients

Objective To assess the nutrition status and the associated factors of hospitalized chronic kidney disease（CKD）patients. Methods Body mass index （BMI）, hemoglobin （Hb）, serum albumin （Alb） and various components of blood fats were analyzed in 402 hospitalized patients with CKD. Results Malnutrition rate in 402 patients with CKD was 7. 46%. The prevalence of overweight and obesity was 41.3%. Levels of Hb, Alb, TP, TG and ApoB were higher in overweight group than in normal control group. Levels of Hb, Alb, TP, TG, TC, ApoB and LDL were higher in obesity group than in normal control group （P〈0. 05）. Levels of Hb and Alb were lower in malnutrition group than in normal control group. Conclusions Different nutritional status is present in hospitalized CKD patients. Patients with overweight or obesity suffers from dyslipidemia.