| 持续非卧床腹膜透析患者营养状况评价 |
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| 引用本文： | 陈胜芳,崔春黎. 持续非卧床腹膜透析患者营养状况评价[J]. 同济大学学报(医学版), 2010, 31(1): 49-52. DOI: 10.3969/j.issn1008-0392.2010.01.011 |
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| 作者姓名： | 陈胜芳 崔春黎 |
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| 作者单位： | 1. 同济大学附属同济医院营养科,上海,200065
2. 同济大学附属同济医院肾内科,上海,200065 |
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| 摘 要： | 【摘要】目的探讨持续非卧床腹膜透析（continuous ambulatory peritoneal dialysis, CAPD）患者的营养状况。方法随机选择病情稳定，符合观察奈件的透析患者52例（男／女，32／20）。进行膳食营养评价、半定量SGA评分、人体测量以及生化指标检测。结果CAPD患者营养不良发生率高：以SGA评分作为评价指标，78．8％的患者有不同程度的营养不良：vJ,ALB作为评价指标，67．3％的患者营养不良；基于AMC判断，则有55．8％的患者营养不良。营养摄入量与营养评价指标关系密切：DEI与BMI呈正相关（P〈0．05），与ALB、PA呈正相关（P〈0．05，P〈0．01），而与SGA、CRP呈负相关（P〈0．01，P〈0．05）：DPI与PA呈正相关（P〈0．01）。蛋白质摄入充分组PA明显高于摄／k不足组（P〈0．01）；热量摄入充分组ALB高于摄入不足组（P〈0．05）。结论CAPD患者营养不良发生率高，膳食营养与CAPD患者营养状况密切相关．就维持血浆蛋白而言，摄入充足的热量可能比蛋白质更重要。
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| 关 键 词： | 腹膜透析患者 营养评价 营养不良 |
Evaluation of nutritional status in continuous ambulatory peritoneal dialysis patients |
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| CHEN Sheng-fang and CUI Chun-li. Evaluation of nutritional status in continuous ambulatory peritoneal dialysis patients[J]. Journal of Tongji University(Medical Science), 2010, 31(1): 49-52. DOI: 10.3969/j.issn1008-0392.2010.01.011 |
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| Authors: | CHEN Sheng-fang and CUI Chun-li |
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| Affiliation: | CHEN Sheng-fang~1,CUI Chun-li~2 (1.Dept.of Clinical Nutrition,Tongji Hospital,Tongji University,Shanghai 200065,China,2.Dept.of Nephrology,Tongji university,China.) |
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| Abstract: | Objective To determine the nutritional status in continuous ambulatory peritoneal dialysis(CAPD) patients.Methods Fifty-two stable CAPD patients(male 32,women 20) were investigated.All patients were performed dietary survey,subjective global assessment(SGA) by semiquantitative scale.Anthropometric measurements and their biochemical parameters including hemoglobin(HB),serum albumin(ALB),pre-albumin(PA) and C-reactive protein(CRP) as inflammation marker were measured.Results High prevalence of malnutrition 78... |
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| Keywords: | peritoneal dialysis population nutrition assessment malnutrition |
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