老年慢性腎臟病患者營養(yǎng)風險篩查及分析
發(fā)布時間:2018-05-09 14:33
本文選題:慢性腎臟病 + 營養(yǎng)不良 ; 參考:《中國老年學(xué)雜志》2016年22期
【摘要】:目的應(yīng)用營養(yǎng)風險篩查(NRS)2002對老年慢性腎臟病(CKD)住院患者進行營養(yǎng)風險篩查,評價老年CKD患者的營養(yǎng)狀況。方法對126例老年CKD住院患者應(yīng)用NRS-2002進行營養(yǎng)風險篩查,同時測定身高、體重、上臂肌圍(AMC)、小腿圍(CC)等人體測量學(xué)指標和血紅蛋白(Hb)、肌酐(Cr)、尿素氮(BUN)、總蛋白(TP)、白蛋白(ALB)、前白蛋白(PA)等實驗室指標,進行相關(guān)性分析。結(jié)果 126例老年CKD患者中,NRS-2002評分≥3分存在營養(yǎng)不良風險者29例(23.0%),CKD V期患者營養(yǎng)不良風險發(fā)生率為53.3%(8/29),與CKDⅡ期(0%)對比差異有統(tǒng)計學(xué)意義(P0.05)。NRS-2002評分與腎小球濾過率(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評分可以作為老年CKD住院患者的營養(yǎng)不良風險篩查指標,是一種簡單、有效的營養(yǎng)評估方法。
[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,
本文編號:1866387
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