中国全科医学Issue(16)：1927-1930,4.DOI:10.3969/j.issn.1007-9572.2015.16.014
成年与老年维持性血液透析患者营养状况的比较研究
Comparison of Nutritional Status Between Young and Middle Aged Patients and Elderly Patients With Maintenance Hemodialysis
摘要
Abstract
Objective To evaluate and compare the nutritional status of young and middle aged patients and elderly patients With maintenance hemodialysis in order to provide a preference for targeted nutrition intervention. Methods We enrolled 121 patients With maintenance hemodialysis Who received treatment in the blood purification center of Changhai Hospital affiliated to Second Military Medical University from July to December in 2013. According to age,72 subjects Were assigned into the younger group( <65 years old),and 49 subjects Were assigned into the elderly group(≥65 years old). The nutritional status of the subjects Was evaluated comprehensively and compared using subjective global assessment of nutritional status ( SGA ), somatometry,laboratory examinations. Results The prevalence of malnutrition measured by SGA( B/C),Alb <35 g/L,PA<200 mg/L, TSF measured value/reference value ≤90%, MAMC measured value/reference value of ≤90% Was 45. 5%(55/121),17. 4%(21/121),11. 6%(14/121),66. 1%(80/121) and 43. 0%(52/121) respectively for all subjects, 37. 5%(27/72),12. 5%(9/72),5. 6%(4/72),62. 5%(45/72) and 29. 2%(21/72) for the younger group and 57. 1%( 28/49 ), 24. 5% ( 12/49 ), 20. 4% ( 10/49 ), 71. 4% ( 35/49 ) and 63. 3% ( 31/49 ) for the elderly group. When measured by SGA( B/C),PA<200 mg/L and MAMC measured value/reference value of≤90%,the adult group and the elderly group Were significantly different(P<0. 05)in the prevalence of malnutrition. The tWo groups Were significantly different(P<0. 05)in blood PA,phosphorus(P),parathyroid hormone(PTH),serum creatinine(SCr),blood urea nitrogen( BUN ) . Conclusion The elderly patients With MHD are higher in the prevalence of malnutrition and Worse in nutritional status than young and middle aged patients With MHD. We suggest a comprehensive method be adopted on a regular basis and in a standard manner to evaluate the nutritional status in elderly patients With MHD.关键词
肾透析/蛋白质-能量营养不良/老年人/成年人Key words
Renal dialysis/Protein-energy malnutrition/Aged/Adult分类
医药卫生引用本文复制引用
沈晓洁,吴灏,余日臻,孔德亮,郭志勇,许静..成年与老年维持性血液透析患者营养状况的比较研究[J].中国全科医学,2015,(16):1927-1930,4.基金项目
长海医院“1255”学科建设计划 （）
