BIA法评估44例CKD患者的营养状况及分析
发布时间：2018-10-08 13:44
【摘要】：目的运用生物电阻抗分析(Bioelectric Impedance Analysis,BIA)评价慢性肾脏病(Chronic Kidney Disease,CKD)患者的营养状况,并将其和生化指标评估结果对比,为早期发现CKD患者营养不良状态、及时给予营养干预提供有效参考。方法随机选择2014年11月-12月期间在某三甲医院CKD管理中心注册的CKD患者57例,根据其浮肿指数、依从性等共纳入研究对象44例,应用BIA法评估研究对象的营养状况并与生化指标评价结果比较。结果BIA和生化检查营养不良率(含营养不良风险)分别为45.4%和25%,且差异有统计学意义(χ~2=4.034,P0.05)。女性身体细胞量、细胞内水分和蛋白质的质量均显著高于男性(P0.05),而男、女性ALB水平差异无统计学意义。在ALB水平正常的CKD患者中,其体细胞量、细胞内水分、蛋白质、骨骼肌、体脂肪均低于正常范围。BIA营养不良的研究对象的骨骼肌量和血清白蛋白(serum Albumin,ALB)水平显著相关(r=0.58,P0.05)。结论 CKD患者营养不良率较高;与生化检查相比,BIA可早期发现CKD患者的营养不良状态和营养不良风险,有利于医生对营养不良患者及时采取有效的营养干预。
[Abstract]:Objective to evaluate the nutritional status of patients with chronic kidney disease (Chronic Kidney Disease,CKD) by bioelectric impedance analysis (Bioelectric Impedance Analysis,BIA) and compare the results with biochemical indexes to provide an effective reference for early detection of malnutrition in CKD patients and timely nutritional intervention. Methods A total of 57 CKD patients were randomly selected from November to December 2014 in CKD Management Center of a third Class A Hospital. According to their swelling index and compliance, 44 patients were included in the study. The nutritional status of the subjects was evaluated by BIA method and compared with the results of biochemical evaluation. Results the malnutrition rates of BIA and biochemical examination (including malnutrition risk) were 45.4% and 25%, respectively, and the difference was statistically significant (蠂 ~ 2 / 24.034). The quantity of body cells, the quality of water and protein were significantly higher in female than in male (P0.05), but there was no significant difference in ALB level between male and female. In CKD patients with normal ALB level, there was a significant correlation between the amount of somatic cells, intracellular water, protein, skeletal muscle, body fat and serum albumin (serum Albumin,ALB) levels in subjects with normal range of .BIA-dystrophy (P 0.05). Conclusion the malnutrition rate of CKD patients is higher than that of biochemical examination, and the malnutrition status and risk of CKD patients can be detected early, which is helpful for doctors to take effective nutritional intervention on malnutrition patients in time.
【作者单位】： 四川大学华西公共卫生学院(华西第四医院);四川大学华西医院临床营养科;
【基金】：慢性肾脏病终末期干体重评价标准的建立(2015SZ0144)
【分类号】：R692
，
本文编号：2256972
[Abstract]:Objective to evaluate the nutritional status of patients with chronic kidney disease (Chronic Kidney Disease,CKD) by bioelectric impedance analysis (Bioelectric Impedance Analysis,BIA) and compare the results with biochemical indexes to provide an effective reference for early detection of malnutrition in CKD patients and timely nutritional intervention. Methods A total of 57 CKD patients were randomly selected from November to December 2014 in CKD Management Center of a third Class A Hospital. According to their swelling index and compliance, 44 patients were included in the study. The nutritional status of the subjects was evaluated by BIA method and compared with the results of biochemical evaluation. Results the malnutrition rates of BIA and biochemical examination (including malnutrition risk) were 45.4% and 25%, respectively, and the difference was statistically significant (蠂 ~ 2 / 24.034). The quantity of body cells, the quality of water and protein were significantly higher in female than in male (P0.05), but there was no significant difference in ALB level between male and female. In CKD patients with normal ALB level, there was a significant correlation between the amount of somatic cells, intracellular water, protein, skeletal muscle, body fat and serum albumin (serum Albumin,ALB) levels in subjects with normal range of .BIA-dystrophy (P 0.05). Conclusion the malnutrition rate of CKD patients is higher than that of biochemical examination, and the malnutrition status and risk of CKD patients can be detected early, which is helpful for doctors to take effective nutritional intervention on malnutrition patients in time.
【作者单位】： 四川大学华西公共卫生学院(华西第四医院);四川大学华西医院临床营养科;
【基金】：慢性肾脏病终末期干体重评价标准的建立(2015SZ0144)
【分类号】：R692
，
本文编号：2256972
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