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目的:观察不同血液净化方式对持续透析患者营养状态的影响。方法:选择接受透析治疗的终末期肾病患者94例,随机分为对照组和观察组各47例。对照组患者给予腹膜透析,观察组患者给予维持性血液透析。治疗6个月后,采用主观综合营养评估法(SGA)评估两组患者营养状态的差异。结果:治疗后两组患者营养不良发生率比较,差异无统计学意义(P>0.05)。与对照组比较,观察组患者SGA评分明显高于对照组,差异有统计学意义(P<0.05)。结论:采用腹膜透析和维持性血液透析均可对持续透析患者的营养状态造成一定的影响,其中维持性血液透析患者的营养状态较好,值得在临床推广应用。
Objective: To observe the effect of different blood purification methods on the nutritional status of patients undergoing continuous dialysis. Methods: Ninety-four patients with end-stage renal disease undergoing dialysis were randomly divided into control group and observation group of 47 patients. Patients in the control group were given peritoneal dialysis, and those in the observation group were given maintenance hemodialysis. Six months after treatment, subjective nutritional assessment (SGA) was used to assess differences in nutritional status between the two groups. Results: There was no significant difference in the incidence of malnutrition between the two groups after treatment (P> 0.05). Compared with the control group, the score of SGA in the observation group was significantly higher than that of the control group, the difference was statistically significant (P <0.05). CONCLUSION: Peritoneal dialysis and maintenance hemodialysis can all affect the nutritional status of patients undergoing continuous dialysis. Among them, the nutritional status of patients undergoing maintenance hemodialysis is good, which is worthy of clinical application.