【摘要】 目的:分析终末期肾脏病(ESRD)维持性血液透析初期患者营养状况的变化与血液透析治疗的关系及其原因。方法:对40例初次开始维持性血液透析治疗患者第1个~第6个透析月的临床资料进行分析。结果:40例患者第6个透析月的血清蛋白、血清铁、转铁蛋白、转铁蛋白饱和度、肌酐和标准化蛋白分解代谢率(nPCR)均较第1个透析月显著增高(P<0.05)。体重自第1个透析月开始下降直至第4个透析月,第5个透析月开始上升。结论:维持性血液透析可显著改善患者的营养状态,可能与饮食中蛋白质摄入量增加有关。更多还原

【Abstract】 Objective:To analysis the relationship between the nutritional staus changing of end-stage renal disease (ESRD) and initiation of maintenance hemodialysis (MHD).Methods:Clinical materials of 40 cases of initial MHD from the 1th month to the 6th were analyzed.Results:Between months 1 and 6,there was a statistically significant increase in values for predialysis serum albumin,iron,transferrin saturation,creatinine and normalized protein catabolic rate (nPCR).Body weight declined initially until month 4,then increased.Conclution:Initiation of MHD is associated with improvement in most nutritional markers.The improvement in nutritional status may be related to the increase in dietary protein intake.更多还原