血液透析患者饮食蛋白摄入与营养状态的相关研究

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1、英文摘要RelationshipbetweenNutritionalStatusandDietaryProteinIntakeinChronicHemodialysisPatientsAbstractObjectiveTheaiminthisstudyistoexploretherelationshipbetweennutritionalstatusanddietaryproteinintakeinpatientsundergoingchronichemodialysis(HD)．SubjectsandMethodsACROSS——sectio

2、nalstudywithninety——eightHDpatients，whoweretreatedandwereinclinicalstablestateintheHDCenterofPekingUniversityThirdHospitalbetweenJuneandSeptemberintheyearof2006，wasperformed．Dataondietaryrecord，subjectiveglobalassessment(SGA)，biochemistrymeasurement，andanthropometrywerecolle

3、ctedinthisstudy．Thepatient’SnutritionalstatuswasassessedbySGA．Moreover，allpatientsweregroupedbydietaryproteinintakenormalizedbyidealbodyweight(NDPI)tocomparethisdifferenceinnutritionalstatusamongdifferentgroups．．UnivariateanalysiSandmultivariateanalysiswereusedtoidentifyfact

4、orsaffectingdietaryproteinintake．ResultsAtotalofninety—eightHDpatients(male58andfemale40)wereincludedinthisstudy．TheprevalenceofmalnutritionassessedbySGAwas29％．ThemeanNDPIandthemeannormalizeddietaryenergyintake(NDEI)was0。96±0．25g／kg／dayand28．8±7．55kcal／kg／day，respectively．al

5、lpatientsweredivideintofourgroupsaccordingtothelevelofNDPI，patientsconsuming0．4～0．59g／kg／dayofNDPI’wereassignedasverylow-proteindietgroup．0．6～0，79g／kg／dayaslow—proteindietgroup，0．8～1．0g／kg／dayasnormal—proteindietgroup，andabove1．0g／kg／dayas4北京大学硕士研究生学位论文high～proteindietgroup．

6、Nodifferencesinnutritionalparameterswereshowedamongdifferentgroups．TherewasasignificantlypositiverelationshipbetweenNDPIandtheconcentrationofpre—dialysiSbloodureanitrogen(BUN)(r=O．38。P

7、thoughtheyconsumedamountofNDPIlowerthanthatrecommendedbyK／DOQI．afurtherstudybasedonnitrogenbalanceisneededtoexploretheoptimalamountofdietaryproteinintakeinchronichemodialysispatients．KeywordsHemodialysisDietaryproteinintakeNutrition5——一．!!室查兰塑主堡塞竺兰焦笙奎文献综述血液透析患者饮食蛋白摄入和营养状态血液透

8、析(HD)是终末期肾脏病患者维持生命的重要手段。随着透析技术的改进，越来越多的尿毒症患者通过血液透析维持尘命，营养状念直接影响血液透析患者的生活质量和