【摘要】：目的探討中老年維持性血液透析(MHD)患者透析前血清鈉(Na)水平與營(yíng)養(yǎng)狀態(tài)的關(guān)系。方法接受MHD治療的終末期腎病患者177例。將患者最近3個(gè)月內(nèi)透析前的血清Na水平進(jìn)行統(tǒng)計(jì),按照統(tǒng)計(jì)數(shù)據(jù)的中位數(shù)實(shí)施分組,135 mmol/L 75例為觀察組,≥135 mmol/L102例為對(duì)照組。對(duì)比兩組的臨床資料,人體學(xué)指標(biāo)、改良的主觀綜合營(yíng)養(yǎng)評(píng)估評(píng)分(MQSGA)以及血清生化指標(biāo),并分析各指標(biāo)間的相關(guān)性。結(jié)果觀察組年齡、女性占比以及透析間期的體重增長(zhǎng)值(IDWG)明顯高于對(duì)照組(P0.05)。觀察組上臂肌圍(MAMC)及握力(HGS)水平明顯低于對(duì)照組,但MQSGA明顯高于對(duì)照組(P0.05)。觀察組血清白蛋白(ALB)水平明顯低于對(duì)照組(P0.05)。Pearson相關(guān)性分析顯示透析前的血清Na水平與MQSGA呈負(fù)相關(guān)(r=-0.612,P=0.003)。ALB水平與MQSGA也呈負(fù)相關(guān)(r=-0.758,P=0.000)。結(jié)論中老年MHD患者的透析前血清Na水平與營(yíng)養(yǎng)狀態(tài)密切相關(guān),臨床可檢測(cè)患者血清Na水平以評(píng)價(jià)患者營(yíng)養(yǎng)狀態(tài),用于指導(dǎo)臨床治療。
[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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