姚强 钱家麒 林爱武 200001 上海第二医科大学附属仁济医院肾脏科 中华肾脏病杂志 1999 0 15 1


    关键词：腹膜透析；营养；透析充分性 期刊 zhszbzz 0 论著 fur -->


    

【摘要 】 目的 应用综合性营养评估法(global nutritional assessment,GNA)对腹透患者的营养进行评估。方法 建立了由13项主客观评价指标组成的GNA，对44例腹透患者进行营养评价。同时观察了营养与透析充分性的关系及DAPD(每日4袋，夜间停透)与CAPD间营养与充分性的比较。结果 (1)营养不良发生率为43.2%，8项营养指标与GNA相关。(2)Kt/V和Ccr均与Alb、前白蛋白(Pre-A)等营养指标无关，在营养良好与不良组比较中亦无显著性差异。(3)DAPD组患者的Kt/V、Ccr、体重和残肾功能(RRF)均明显差于CAPD组。结论 GNA对腹透患者具有良好的营养评价作用，近半数的腹透患者在透析过程中发生营养不良。透析充分性与营养并不始终相关。无论营养或透析充分性，DAPD组均差于CAPD组。

The application of global nutritional assessment on patients with peritoneal dialysis

YAO Qiang,QIAN Jiaqi,LIN Aiwu.Department of Nephrology,Renji Hospital,Shanghai Second Medical University,Shanghai 200001

【Abstract 】 Objective To assess nutritional status of peritoneal dialysis(PD)patients with“global nutritional assessment”and investigate the relationship between nutrition and adequacy.Methods A“global nutritional assessment”was made,including 13 variables derived from SGA,anthropometry and biochemistry.The nutritional status with it and dialysis adequacy with Kt/V and Ccr were examined in 44 PD patients.Results (1)19 patients(43.2%)were malnurished.A statistical analysis indentified that 8 variables were correlated with global nutritional assessment.(2)Both Kt/V and Ccr were not correlated with nutritional indices except the correlation between PCRN and Kt/V.Meanwhile,there was no difference between nourished and malnourished patients on Kt/V and Ccr.(3)Patients of DAPD had lower body weight、RRF、Kt/V and Ccr level than those of CAPD.Conclusion Global nutritional assessment is effective.Almost half of the patients of PD were malnourished.Adequacy is not always correlated with nutritional status.DAPD maybe one of high risk factors on PD failure.

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