腹膜转运功能对连续性不卧床腹膜透析患者营养状况的影响

目的：探讨腹膜转运功能对连续性不卧床腹膜透析（ＣＡＰＤ）患者营养状况的影响。方法：将４６例ＣＡＰＤ患者按腹膜平衡试验（ＰＥＴ）结果分为Ⅰ组（高和较高转运率）和Ⅱ组（较低转运率），比较其尿素ＫＴ／Ｖ、蛋白分解率（ＰＣＲ）血清白蛋白（Ａｌｂ）、前清蛋白（ＰＡ）和转铁蛋白（Ｔｆ）水平。结果：两组在残余肾功能（ＲＲＦ）透析剂量和尿素ＫＴ／Ｖ方面无差异，Ⅰ组血清Ａｌｂ和ＰＣＲ显著低于Ⅱ组。结论：腹膜透性较高者更易发生蛋白营养不良。

Effects of peritoneal transport function on nutritional status of CAPD patients

Objective:To study the effects of peritoneal transport functionon protein nutritional status of CAPD patiets.Methods:According to the results of peritoneal equilibrium test (PET),46 non-diabetic patients were divided into 2 groups:those with high and relatively high peritoneal transport function in group Ⅰ and those with relatively low peritoneal transport function in group Ⅱ.RRF,dialysis dose and KT/V of urea of the 2 groups were compared.Results:Patients in group Ⅰ had significantly higher levels of serum Alb and PA and PCR.Conclusion: Patients with higher peritoneal efficiency peritoneum are more susceptible to protein malnutrition.