维持性血透患者早期营养状况对后期住院率的影响.docVIP

精品论文 参考文献 维持性血透患者早期营养状况对后期住院率的影响 寻南 张晓英 (通讯作者) 　　(中山一院血液净化中心 广东广州 510080) 　　【摘要】目的：调查维持性血液透析患者营养状况与住院率；分析血透患者早期营养状况对后期住院率的影响。方法：选取128例符合纳入标准的维持性血透患者，使用SGA综合主观性营养状况评估进行调查和分组，分析中重度营养不良组和正常及轻度营养不良组的住院率差异。结果：调查起点时128例维持性血透患者中38例（29.7%）被评估为中重度营养不良；24个月观察期内，128例患者共有62名患者发生116次住院；统计学分析得出中重度营养不良组和正常及轻度营养不良组的住院人数和次数存在显著差异。结论：营养不良是维持性血透患者住院的危险因素，在早期应重视维持性血透患者的营养状况评估，进而对营养不良患者进行有效干预，从而防止门诊维持性血透患者发生住院，更好地稳定患者病情，改善透析患者预后。 　　【关键词】 维持性血液透析 营养状况 SGA 住院率 　　【中图分类号】R459.5 【文献标识码】A 【文章编号】1672-5085（2014）16-0043-02 　　The relationship between Early Nutrition Status and later Hospitalization Rate in Maintenance Hemodialysis Patients 　　【Abstract】Objective To investigate the nutrition status and hospitalization rate in Maintenance Hemodialysis Patients, to analysis the relationship between early Nutrition Status and later Hospitalization Rate in Maintenance Hemodialysis Patients . Methods 128 cases were measured by SGA and divided into two groups ，then compared the hospitalization rate between the two groups 24 month later . Results 38 (29.7%)cases were divided into Moderate to Severe malnutrition group , and others in Normal and Mild malnutrition group ,62 patients suffered 116 times hospitalization in total , there were significant difference in the two groupsrsquo; hospitalization rate . Conclusion Malnutrition was the risk factor for hospitalization in Maintenance Hemodialysis Patients, we should pay more attention to nutrition assessment , to intervene the Moderate to Severe malnutrition patients effectively in order to avoid the hospitalization occurrence, to improve the prognosis of Maintenance Hemodialysis Patients. 　　【Key words】Maintenance Hemodialysis Patients Nutrition Status SGA Hospitalization rate 　　血液透析作为治疗终末期肾衰竭患者肾脏替代疗法之一，已在临床上得到了广泛应用[1]。随着血液透析技术水平的不断提高，维持性血液透析患者的生存时间也得到了显著的延长。目前，全世界有80%以上ESRD患者依靠透析疗法维持生命[2]。通常情况下尿毒症患者只需在门诊透析，无需住院治疗。但部分维持性血透患者因并发各种并发症而需住院治疗。相关研究显示,维持性血液透析患者住院的病因依次为各种感染、急性左心衰、肾性骨病、冠心病