老年慢性肾脏病患者营养风险筛查及分析
发布时间:2018-05-09 14:33
本文选题:慢性肾脏病 + 营养不良 ; 参考:《中国老年学杂志》2016年22期
【摘要】:目的应用营养风险筛查(NRS)2002对老年慢性肾脏病(CKD)住院患者进行营养风险筛查,评价老年CKD患者的营养状况。方法对126例老年CKD住院患者应用NRS-2002进行营养风险筛查,同时测定身高、体重、上臂肌围(AMC)、小腿围(CC)等人体测量学指标和血红蛋白(Hb)、肌酐(Cr)、尿素氮(BUN)、总蛋白(TP)、白蛋白(ALB)、前白蛋白(PA)等实验室指标,进行相关性分析。结果 126例老年CKD患者中,NRS-2002评分≥3分存在营养不良风险者29例(23.0%),CKD V期患者营养不良风险发生率为53.3%(8/29),与CKDⅡ期(0%)对比差异有统计学意义(P0.05)。NRS-2002评分与肾小球滤过率(GFR)、Hb、BUN、Cr、TP、ALB、PA明显相关(P0.05),与体质指数(BMI)、AMC、CC相关性差(P0.05)。结论 NRS-2002评分可以作为老年CKD住院患者的营养不良风险筛查指标,是一种简单、有效的营养评估方法。
[Abstract]:Objective to evaluate the nutritional status of elderly patients with chronic kidney disease (CKD) by nutritional risk screening (NRS) 2002. Methods 126 inpatients with CKD were screened for nutritional risk with NRS-2002, and their height and weight were measured at the same time. Correlation analysis was made between the anthropometric indexes such as arm muscle circumference (AMCG), leg circumference (CCC), hemoglobin (HB), creatinine (Cr), bun (bun), total protein (TPN), Albumin (ALB), prealbumin (PAA) and so on. Results among 126 elderly patients with CKD, there were 29 cases with malnutrition risk of NRS-2002 score 鈮,
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