腹膜转运特性对非糖尿病腹膜透析患者营养状态的影响

目的探讨尿毒症腹膜转运特性对非糖尿病腹膜透析患者营养的影响。方法根据腹膜平衡试验（PET），将31例腹膜透析患者腹膜分为低转运（L）、低平均转运（LA）、高平均转运（HA）、高转运（n）4种类型，比较4种转运特性腹膜透析患者腹透6个月后血清白蛋白（ALB）、血清转铁蛋白（TF）、血红蛋白（Hb）、主观综合性营养评倘法（SGA）。结果高转运腹膜组与低转运、低平均转运、高平均转运组比较，ALB、TF、Hb、SGA均显著降低（P〈0．05）；高转运腹膜组与低转运组比较，ALB、TF、、SGA均显著降低（P〈0．05）。结论在溶质清除相同的条件下，腹膜转运性高的腹透患者营养状况明显差于腹膜转运低的腹透患者。

Effects of Peritoneal Transport on Nutritional Status of Non-diabetes Peritoneal Dialysis Patients

Objective To study the effects of peritoneal transport on the nutritional status of non-diabetes peritoneal dialysis patients. Methods Thirty-one cases of peritoneal dialysis patients were divided into four groups, i.e. low transport group, low-average transport group, high-average transport group and high transport group according to perioneal equilibration test. Serum albumin （ ALB）, transferrir, （TF） and hemoglobin （Hb） were measured before and after peritoneal dialysis, and subjective global assessment （ SGA ） of nutritional status was conducted at the same time. Results The high transport group had lower serum ALB, TF, Hb and SGA, compared with any of the other groups （ P 〈 0.05 ）. Conclusion The nutritional status is significantly worse in the patients with high peritoneal transport than in those with low peritoneal transport.