中老年维持性血液透析患者透析前血清钠水平与营养状态的关系

发布时间：2019-01-13 20:43

【摘要】：目的探讨中老年维持性血液透析(MHD)患者透析前血清钠(Na)水平与营养状态的关系。方法接受MHD治疗的终末期肾病患者177例。将患者最近3个月内透析前的血清Na水平进行统计,按照统计数据的中位数实施分组,135 mmol/L 75例为观察组,≥135 mmol/L102例为对照组。对比两组的临床资料,人体学指标、改良的主观综合营养评估评分(MQSGA)以及血清生化指标,并分析各指标间的相关性。结果观察组年龄、女性占比以及透析间期的体重增长值(IDWG)明显高于对照组(P0.05)。观察组上臂肌围(MAMC)及握力(HGS)水平明显低于对照组,但MQSGA明显高于对照组(P0.05)。观察组血清白蛋白(ALB)水平明显低于对照组(P0.05)。Pearson相关性分析显示透析前的血清Na水平与MQSGA呈负相关(r=-0.612,P=0.003)。ALB水平与MQSGA也呈负相关(r=-0.758,P=0.000)。结论中老年MHD患者的透析前血清Na水平与营养状态密切相关,临床可检测患者血清Na水平以评价患者营养状态,用于指导临床治疗。
[Abstract]:Objective to investigate the relationship between serum sodium (Na) level and nutritional status in elderly patients with maintenance hemodialysis (MHD) before dialysis. Methods 177 patients with end-stage nephropathy were treated with MHD. The serum Na levels of the patients before dialysis in the last 3 months were statistically analyzed. According to the median of the statistical data, the patients were divided into observation group (75 cases) and control group (鈮，

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