微型营养评定简表在老年慢性肾脏病病人中的应用

目的 在老年慢性肾脏病（CKD）病人中应用微型营养评定简表（MNA-SF）评价患者营养状况,并探讨MNA-SF在老年CKD患者营养状况评价中的可行性,分析老年CKD患者与营养状况相关的临床指标.方法 应用MNA-SF量表对82例老年CKD（KDIGO1-4期）患者的营养状况进行调查,分别记录血常规、血脂、血生化等指标.结果 82例老年CKD患者中,正常营养状态者24例,占29.27％,营养不良者11例,发生率为13.41％,有营养不良风险存在者47例,发生率为57.32％.CKD不同分期患者中,营养不良风险存在有显著性差异（F=12.5721,P＜0.05）.营养不良风险存在者的Hb、Apro、TT3低于正常营养状态者（P＜0.05）,而与营养不良者之间无显著性差异（P＞0.05）.但在营养不良风险存在者中CH高于营养不良与正常营养状态者.结论 MNA-SF量表评估能较早地评价老年CKD的营养状况,对老年CKD患者早期营养代谢干预改善预后有一定的临床意义.

Application of Short-Form Mini-Nutritional Assessment in elderly patients with chronic kidney disease

Objective：To evaluate the applicability of Short - Form Mini - Nutritional Assessment （ MNA - SF） in eld- erly patients with chronic kidney disease （CKD）. And to cornfirm the correlation of MNA - SF with classical nurtrional markers. Methods： Clinical biochemical indexes of patients with stage 1 -4 CKD were recorded and compared with those of MNA - SF. Result： In elderly 82 patients with CKD, incidence of normal nutrition status, malnutrition and malnutrition risk existence were 29.27%, 13.41% and 57.32% respectively. The malnutrition risk existence were significance differ- ence in patients with stage 1 - 4 CKD （ F = 12. 572l, P 〈 0.05 ）. The number variable of Hb, Apro and TT3 were signifi- cantly lower in malnutrition risk existence than in normal nutrition status （ P 〈 0.05 ）. There weren ＇ t non - significance difference between malnutrition risk existence and malnutrition （ P 〉 0.05 ）. And the number variable of CH was higher in the malnutrition risk existence. Conclusion： MNA - SF has certain clinical significance of nutrition condition assessment and nursing intervention early in patients with stage 1 -4 CKD.