[血液透析营养状况和营养不良炎症评分]。

Carlos Iván Cerda-Méndez, Omar Alfredo Jiménez-García, José Oscar Juárez-Sánchez, Martha Alicia Hernández-González, Javier Medrano-Sánchez, Erica García-Valadez
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引用次数: 0

摘要

背景:慢性肾脏病(CKD)患者面临多种营养和代谢改变的风险,包括蛋白质和能量流失、肥胖、营养缺乏以及尿毒症引起的并发症(表现为味觉改变和食欲不振)。然而,血液透析(HD)患者的营养状况尚不清楚:目的:确定在一家三级医疗中心接受血液透析的接受肾脏替代治疗的慢性肾脏病患者的营养状况:观察性、前瞻性、纵向研究。研究对象包括在一家三级医院接受 HD 治疗的患者。对同意参与研究的患者进行营养不良和炎症评分(MIS)。研究人员还收集了患者的姓名、年龄、性别、体重指数(BMI)、白细胞、白蛋白、转铁蛋白水平和血液透析时间等数据:结果:共纳入 52 名患者。平均年龄为 46.51 岁(15.54);男性 34 例(65.4%),女性 18 例(34.6%);1 例(1.9%)表现为正常 MIS,32 例(61.5%)为轻度 MIS,18 例(34.6%)为中度 MIS,1 例(1.9%)为重度 MIS:接受 HD 治疗的 CKD 患者营养状况较差,因此必须制定监测方案,以便在患者发病率和死亡率方面带来益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Hemodialysis nutritional status and Malnutrition Inflammation Score].

Background: Patients with chronic kidney disease (CKD) have risk of multiple nutritional and metabolic alterations, including loss of protein and energy, obesity, nutritional deficiency, and complications derived from uremia that manifest with changes in taste and lack of appetite. However, the nutritional status of patients on hemodialysis (HD) is unknown.

Objective: To determine the nutritional status of patients with CKD with renal replacement therapy receiving HD in a tertiary care center.

Material and methods: Observational, ambispective, longitudinal study. The population included patients receiving HD in a third-level hospital. The Malnutrition and Inflammation Score (MIS) was administered to patients who agreed to participate. Together with the identification card, data on name, age, sex, body mass index (BMI), leukocytes, albumin, transferrin level, and HD time were collected.

Results: 52 patients were included. Mean age was of 46.51 years (15.54); 34 patients (65.4%) were male and 18 female (34.6%); 1 (1.9%) presented normal MIS, 32 (61.5%) mild MIS, 18 (34.6%) moderate MIS, and 1 (1.9%) severe MIS.

Conclusions: Nutritional status is poor in patients with CKD receiving HD, which is why it must include a monitoring protocol that translates into a benefit in the face of patient morbidity and mortality.

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