本文選題：慢性腎臟病 + 營(yíng)養(yǎng)不良��； 參考：《中國(guó)老年學(xué)雜志》2016年22期

【摘要】：目的應(yīng)用營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查(NRS)2002對(duì)老年慢性腎臟病(CKD)住院患者進(jìn)行營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查,評(píng)價(jià)老年CKD患者的營(yíng)養(yǎng)狀況。方法對(duì)126例老年CKD住院患者應(yīng)用NRS-2002進(jìn)行營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查,同時(shí)測(cè)定身高、體重、上臂肌圍(AMC)、小腿圍(CC)等人體測(cè)量學(xué)指標(biāo)和血紅蛋白(Hb)、肌酐(Cr)、尿素氮(BUN)、總蛋白(TP)、白蛋白(ALB)、前白蛋白(PA)等實(shí)驗(yàn)室指標(biāo),進(jìn)行相關(guān)性分析。結(jié)果 126例老年CKD患者中,NRS-2002評(píng)分≥3分存在營(yíng)養(yǎng)不良風(fēng)險(xiǎn)者29例(23.0%),CKD V期患者營(yíng)養(yǎng)不良風(fēng)險(xiǎn)發(fā)生率為53.3%(8/29),與CKDⅡ期(0%)對(duì)比差異有統(tǒng)計(jì)學(xué)意義(P0.05)。NRS-2002評(píng)分與腎小球?yàn)V過(guò)率(GFR)、Hb、BUN、Cr、TP、ALB、PA明顯相關(guān)(P0.05),與體質(zhì)指數(shù)(BMI)、AMC、CC相關(guān)性差(P0.05)。結(jié)論 NRS-2002評(píng)分可以作為老年CKD住院患者的營(yíng)養(yǎng)不良風(fēng)險(xiǎn)篩查指標(biāo),是一種簡(jiǎn)單、有效的營(yíng)養(yǎng)評(píng)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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