营养不良-炎症评分评估和判断维持性腹膜透析患者的营养不良-微炎症状态

《营养不良-炎症评分评估和判断维持性腹膜透析患者的营养不良-微炎症状态》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、中国血液净化2010年l0月第9卷第10期ChineseJournalofBloodPurification,OctQ!!．_l9·529·临床研究营养不良一炎症评分评估和判断维持性腹膜透析患者的营养不良一微炎症状态桂志红王会玲张金元【摘要】目的探讨营养小良一炎症评分(malnutritioninflammationscore，MIS)对维持性腹膜透析(peritonealdialysis，PD)患者营养不良微炎症状态的临床评价和判断。方法对上海解放军第四五五医院腹膜透析中心行维持性PD的患者的营养小良一炎症状态进行改良定量主观整体评估(m

2、odifiedquantitativesubjectiveglobalassessment，MQSGA)和MIS，同时检测PD患者人体测量指标、生化指标和微炎症指标，并分析MIS对营养不良一炎症状态的评价效能及与各项指标的相关性。结果符合纳入标准的P1]患者共98例。按照MQSGA标准，营养不良者96例，占97．96％，其中轻度64例，占65．31％，中度27例，占27．55％，重度5例，占7．10％。按照MIS标准，98例PD患者全部为营养不良，占100％，其中轻度52例，占53．06％，中度39例，占39．80％，重度7例，占7．14％

3、。MIS分值越高，患者年龄越大，营养状况越差，微炎症状态越严重。MIS与PD患者贫血指标、营养指标和人体测量指标显著负相关，差异有统计学意义(尸<0．05)；微炎症指标显著正相关，差异有统计学意义(尸

4、69~．issn．1671—4091．2010．10．003Malnutritioninflammationscorecanevaluatemalnutrition—inflammationstatusinChineseperitonealdialysispatientsGUIZhi—hong,WANGHui—ling,ZHANGJin-yuan．DivisionofNephrology,JiminHospital,Shanghai200052,ChinaCorrespondingauthor．"WangHui-ling,Email：vio

5、lingwang@163．com[Abstract]ObjectiveThemalnutritioninflammationcomplexsyndrome(MICS)occurscommonlyinendstagerenaldiseaseordialysispatients．Weusedmalnutrition—inflammationscore(MIS)toevaluatemalnutrition—inflam-marionstatusinChineseperitonealdialysis(PD)patients．MethodsAtota

6、lof98patients(47malesand51females；59．1±18．0yearsofage)treatedwithPDforatleast3months(4-13months、inthePeritonealDialysisCenterofJiminHospitalduringtheperiodfromFeb．2009toSep．2009wererecruitedinthisstudy．MISandthemodifiedquantitativesuhjectiveglobalassessment(MQSGA)wereasses

7、sedbyanexperiencedphysician．Observationsalsoincludedanthropometry,biochemicalassays，andthemicro-inflammationparameters．WethenanalyzedtheeficacyofMISintheevaluationofmalnutrition—inflammationstatus，andthecorrelationbetweenMISandtheseparameters．ResultsThemorbidityofmalnutrit

8、ionwas97．96％basedonthecriteriaofMQSGA，including64mildmalnutritioncases(65．31％)，27moderate