维持性血液透析患者背力与营养状态的相关性

doi:10.3969/j.issn.1671-7171.2023.08.008

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摘要【目的】探讨维持性血液透析(MHD)患者背力与营养状态的相关性。【方法】选取两院收治的105例MHD患者作为研究对象,根据患者背力水平将其分为高背力组和低背力组,分别通过改良定量整体主观评估表(MQSGA)、营养不良炎症评分表(MIS)及血清蛋白水平及营养指标评估两组患者营养状态。观察两组患者营养状态评分、分子水平营养状态、整体水平营养状态及背力与营养状态的差异。【结果】高背力组MQSGA和MIS评分均高于低背力组(P<0.05);高背力组患者白蛋白(ALB)、前白蛋白(PAB)、转铁蛋白(TRF)、总蛋白(TP)水平均高于低背力组(P<0.05);高背力组患者体重指数(BMI)、肱三头肌皮肤褶皱厚度(TSF)、上臂肌围(AMC)大于低背力组(P<0.05);Spearman秩相关分析结果显示,MHD患者背力与营养状态评分呈负相关,与分子水平和整体水平营养状态呈正相关(P<0.05)。【结论】MHD患者背力与营养状态密切相关,临床针对患者病情开展个性化营养支持方案,对提高其背力、改善生活质量具有重要意义。

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	张晓媛
	孙佩
	李月

关键词 ：肾透析, 营养状况, 数据相关性

Abstract：【Objective】To explore the correlation between maintenance hemodialysis (MHD) patients' back strength and nutritional status. 【Methods】A total of 105 MHD patients admitted to two hospitals were selected in the study. The patients were divided into two groups (high and low back strength) according to their back strength levels. Then,the Modified Quantitative Subjective Global Assessment (MQSGA),Malnutrition-Inflammation Score (MIS),serum protein levels' detection and nutritional index detection were used to evaluate the nutritional status of the two groups of patients. The nutritional status scores,molecular nutritional status,and overall nutritional status were observed in the two groups,and the correlation between back strength and nutritional status were analyzed. 【Results】The scores of MQSGA and MIS in the high back strength group were higher than those in the low back strength group (P<0.05). Levels of Albumin (ALB),Prealbumin (PAB),Transferrin (TRF),and Total Protein (TP) in the high back strength group were higher than those in the low back strength group (P<0.05). The Body Mass Index (BMI),Triceps Skinfold (TSF) and Arm Muscle Circumference (AMC) of the patients in the high back strength group were greater than those in the low back strength group (P<0.05). Spearman rank correlation analysis showed that the back strength of maintenance hemodialysis patients was negatively correlated with nutritional status score,and positively correlated with molecular level and overall nutritional status indicators (P<0.05). 【Conclusion】There is a close relationship between the back strength of MHD patients and the nutritional status. Therefore development of personalized nutritional support programs based on the patient's condition is of great significance for improving back strength and improving the quality of life.

Key words： Renal Dialysis Nutritional Status Correlation of Data

收稿日期: 2022-07-29

中图分类号:

R459.52

通讯作者: ^*E-mail:944021599@qq.com

引用本文:

张晓媛, 孙佩, 李月. 维持性血液透析患者背力与营养状态的相关性[J]. 医学临床研究, 2023, 40(8): 1146-1149.
ZHANG Xiao-yuan, SUN Pei, LI Yue. Study on the Correlation between Back Strength and Nutritional Status in Maintenance Hemodialysis Patients. JOURNAL OF CLINICAL RESEARCH, 2023, 40(8): 1146-1149.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2023.08.008 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2023/V40/I8/1146

[1] 仲海峰,黄新忠,周永华,等.计划-实施-检查-处理循环管理办法对维持性血液透析合并高血压患者血压变化和生活质量的影响[J].中华高血压杂志,2020,28(5):450-456.
[2] 曾维玲,栾中佼,吴私,等.维持性血液透析患者透析后疲劳的影响因素分析[J].中国医科大学学报,2020,49(10):943-948.
[3] 李倩,邓开慧,龙艳君,等.维持性血液透析患者蛋白质能量消耗的影响因素[J].中华医学杂志,2019,99(20):1567-1571.
[4] JAPANESE SOCIETY OF NEPHROLOGY.Essential points from evidence-based clinical practice guidelines for chronic kidney disease 2018[J].Clin Exp Nephrol,2019,23(1):1-15.
[5] 吴娇华,梁燕萍,钟海英,等.不同的血液净化方式对维持性血液透析患者虚弱症的影响[J].国际护理学杂志,2021,40(5):858-861.
[6] 黄宁川,刘巍,马辉,等.维持性血液透析患者机体营养状况及IL-10基因多态性与肺部感染的相关性[J].中华医院感染学杂志,2020,30(10):1523-1526.
[7] 夏薇青,宋菊香,杨二梅,等.血清1,25-(OH)₂D₃水平与老年维持性血液透析患者炎症反应及血脂水平的相关性[J].中国老年学杂志,2020,40(18):3916-3918.
[8] 王金泉.维持性血液透析患者骨质疏松的特点与对策[J].肾脏病与透析肾移植杂志,2020,29(1):46-47.
[9] 王亚美,邢利,程艳,等.维持性血液透析患者肌肉减少症的危险因素及预后研究[J].中国实用内科杂志,2020,40(5):396-400.
[10] HAGHIGHAT N.Correlation of anti-heat shock protein 70 antibodies serum level with malnutrition-inflammation score in hemodialysis patients[J].Int Urol Nephrol,2019,51(10):1849-1854.
[11] SAGLIMBENE V M,WONG G,RUOSPO M,et al.Fruit and vegetable intake and mortality in adults undergoing maintenance hemodialysis[J].Clin J Am Soc Nephrol,2019,14(2):250-260.
[12] 罗红敏.维生素D受体激动剂并不能降低非继发性甲状旁腺功能亢进的透析患者心血管事件风险[J].中华危重病急救医学,2019,31(2):192.
[13] 应金萍,蔡根莲,潘梦燕,等.维持性血液透析患者衰弱表型对日常生活活动能力的影响[J].中华肾脏病杂志,2021,37(8):639-646.
[14] 祝巍,孙康,何海硕,等.背力是一种优于握力的血液透析患者营养状况评估工具[J].营养学报,2019,41(4):408-410.