河池市城区老年维持性血液透析患者营养状态报告

目的:研究河池市城区老年维持性血液透析患者营养状态以及影响因素。方法:选择河池市人民医院血液透析中心中,维持性血液透析老年患者45例(65岁以上,老年组)和非老年患者43例(65岁以下,对照组),评估患者营养状态并进行比较。结果:老年组的物理指标测量结果和生化指标测量结果均低于对照组(P0.05),而超敏CRP和透析充分性Kt/V分别为(13.6±8.4)mg/L、(1.4±0.2),明显高于对照组(P0.05);老年组蛋白质和热量摄入量分别为(0.7±0.2)g/(kg·d)、(102.5±11.4)kJ/(kg·d),均低于对照组(P0.05)。结论:老年维持性血液透析患者营养状态较差,与炎症反应和蛋白质等摄入不足有关,根据影响因素改善老年患者营养状态。

The Report about Nutritional Status in Elderly Maintenance Hemodiaiysis Patients in Hechi City

Objective：To research the nutritional status and influencing factor in elderly maintenance hemodialysis patients in Hechi city. Method：In the dialysis center of a hospital in Hechi City,45 elderly patients（〉65 years old,the elderly group）and 43 non elderly patients（〈65 years old,the control group）among the maintenance hemodialysis patients were selected,the nutritional status of patients were assessed and compared. Result：Physical index and biochemical measurements results in the elderly group were lower than the control group（P〈0.05）,while the ultra sensitive CRP and dialysis adequacy of Kt/V were（3.6 ± 8.4）mg/L and（1.4 ± 0.2）in the elderly group,which were significantly higher than those of the control group （P〈0.05）;protein and calorie intake for the elderly group were（0.7 ± 0.2）g/（kg·d）and（102.5 ± 11.4）kJ/（kg·d）,which were lower than the control group（P〈0.05）. Conclusion：The nutritional status is poor in elderly maintenance hemodialysis patients,which is influenced by inflammation and protein deficiency,so improve the nutritional status of elderly patients according to influencing factors.