维持性血液透析患者的静息能量消耗特点

目的 探讨维持性血液透析(MHD)患者的静息能量消耗特点.方法 选择我院行MHD的终末期肾脏疾病(ESRD)患者50例,采用呼吸间接测热法测量患者实际的静息能量消耗(REE)值,与国际上通用的健康成人的Harris-Benedict公式的计算值比较,使用Spearman相关、配对t检验、吻合比例进行统计分析.结果 MH...

Characteristics of resting energy expenditure in maintenance hemodialysis Patients

Objective To explore the characteristics of resting energy expenditure （REE） in maintenance hemodialysis （MHD） patients. Methods Fifty end-stage kidney disease （ESRD） patients who accepted MHD were collected. REE was measured by indirect calorimetry and compared with prediction equations from Harris Benedict. Agreement between indirect calorimetry and prediction equations was assessed following spearman correlation, paired t-test, and the percentage of individual coincidence. Results Measured REE in patients was （6 120 -- 1 670） kJ/day, and estimated REE in healthy people was （5 877 ± 686） kJ/day, with no significant difference （P〉0. 05）. However, the individual coincidence was poor （36%）. Conclusions There is no significant difference in REE between MHD patients and healthy people, but the individual bias is significant.