维持性血液透析患者营养状况分析

山东大学学报(医学版) ›› 2011, Vol. 49 ›› Issue (9): 59-.

维持性血液透析患者营养状况分析

王会1，王菊生2，时一民1，姚子明3，孙云1，肖合存1，赵晓田4，赵长峰4

山东大学 1.第二医院血液净化中心，济南 250033；2.附属济南市中心医院质量管理办公室，济南 250013；
　3. 医学院生理学研究所，济南 250012； 4. 公共卫生学院营养与食品卫生研究所，济南 250012

收稿日期:2010-11-09 出版日期:2011-09-10 发布日期:2011-09-10
通讯作者: 赵长峰(1960- )，男，硕士研究生，副教授，主要从事营养与慢性疾病的研究。E-mail：zhaochfeng@sdu.edu.cn
作者简介:王会(1975- )，女，主管护师，主要从事微量元素与肾脏病透析临床研究。

Nutritional status in maintenance hemodialysis patients

WANG Hui1, WANG Ju-sheng2, SHI Yi-min1, YAO Zi-ming3, SUN Yun1,
XIAO He-cun1, ZHAO Xiao-tian4， ZHAO Chang-feng4

1. Blood Purification Center, The Second Hospital of Shandong University, Jinan 250033, China;
2. Office of Quality Control, Jinan Central Hospital Affiliated to Shandong University, Jinan 250013, China;
3. Institute of Physiology, School of Medicine, Shandong University, Jinan 250012, China;
4. Institute of Nutrition and Food Hygiene, School of Public Health, Shandong University, Jinan 250012, China

Received:2010-11-09 Online:2011-09-10 Published:2011-09-10

摘要/Abstract

摘要：

目的分析维持性血液透析患者营养状况及发生营养不良的危险因素，为营养干预提供依据。方法对98例患者进行3d内的24h膳食调查及改良定量主观营养评估(MQSGA),并进行必要的人体学测量及生化指标的测定。结果膳食调查结果显示,实际标准体质量每日能量摄入量(DEI)为(117.15±5.98)kJ/(kg·d)、每日蛋白质摄入量(DPI)为(1.02±0.42)g/(kg·d)，优质蛋白质的摄入量为(19.8±12.9)g/d。患者的DPI、DEI及优质蛋白质的摄入量均低于推荐标准。营养评估结果显示营养不良患者比例占48.9%。透析充分患者较透析不充分患者营养不良发生率低，组间差异有统计学意义(P<0.05)。60岁及以上老年患者营养不良发生率明显高于60岁以下患者(P<0.05)。结论维持性血液透析患者营养不良发生比例较高，主要与透析不充分、蛋白质及能量摄入不足、年龄等因素有关。

关键词: 血液透析；营养状况；膳食调查

Abstract:

Objective To analyze nutritional status and risk factors which lead to malnutrition in maintenance hemodialysis sufferers, and provide the basis for nutritional intervention. Methods 98 sufferers underwent a 3-day retrospective 24-hour dietary survey, nutritional status assessment with Modified Quantitative Subjective Global Assessment(MQSGA), and necessary somatological and biochemical measurements. Results The diet survey showed that actual standard body mass daily energy intake(DEI) was (117.15±5.98)kJ/(kg·d), actual standard body mass daily protein intake(DPI) was (1.02±0.42)g/kg·d, and superior quality protein intake quantity was (19.8±12.9)g/d. Sufferers′ DEI, DPI and superior quality protein intake were all lower than the recommended standard. Nutritional status assessment showed that the malnutrition incidence was 48.9%. Sufferers with sufficient dialysis demonstrated a lower malnutrition incidence than those with insufficient dialysis. There was significant difference between the two groups(P<0.05). The malnutrition incidence in sufferers at or above 60 years old was obviously higher than those under 60 years old(P<0.05). Conclusion The malnutrition incidence in maintenance hemodialysis sufferers is high, which is primarily related to the age and insufficiency in dialysis and protein and energy intake.

Key words: Maintenance hemodialysis; Nutrition status; Dietary survey

中图分类号:

R459.5

王会1，王菊生2，时一民1，姚子明3，孙云1，肖合存1，赵晓田4，赵长峰4. 维持性血液透析患者营养状况分析[J]. 山东大学学报(医学版), 2011, 49(9): 59-.

WANG Hui1, WANG Ju-sheng2, SHI Yi-min1, YAO Zi-ming3, SUN Yun1, XIAO He-cun1, ZHAO Xiao-tian4， ZHAO Chang-feng4. Nutritional status in maintenance hemodialysis patients[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(9): 59-.

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