斋月对非禁食血液透析患者的临床和生化参数的影响
Ahmed M Alkhunaizi1, Basil Alnasrallah1, Eileen Brady1
1Nephrology Section, Specialty Internal Medicine Unit, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.
概括
斋月生活方式的改变并没有显著影响在血液透析 (HD) 上的末期脏疾病 (ESRD) 的非禁食患者. 临床和代谢概况保持稳定,在这个沙特阿拉伯队列中没有观察到流体过载或高血的风险增加.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内部医学 内部医学
- 公共卫生 公共卫生
背景情况:
- 斋月禁食显著改变了全世界穆斯林的日常生活和饮食习惯.
- 这些与斋月相关的生活方式改变对末期脏病 (ESRD) 接受血液透析 (HD) 的患者的影响尚未得到充分证实.
- 了解这些影响对于在斋月期间管理ESRD患者至关重要.
研究的目的:
- 研究与斋月相关的生活方式和饮食修改对非禁食ESRD患者在血液透析中的临床和代谢影响.
- 评估在斋月期间体重,血压和关键实验室参数的变化.
- 为了监测这种患者群体的液体过载和高胆血症的发展.
主要方法:
- 一项前性的纵向研究是在沙特阿拉伯东部的一个中心进行的.
- 包括18名在维持血液透析的非禁食ESRD患者.
- 在斋月之前和之后测量了临床参数 (体重,血压,透析间体重增加) 和实验室值 (血清,,白蛋白).
主要成果:
- 在斋月的开始和结束之间,没有观察到体重,透析间体重增加或血压的统计学上显著差异.
- 血清,和白蛋白水平保持稳定,没有显著变化.
- 在研究期间,没有报告与流体过载或高胆血症有关的紧急病例.
结论:
- 斋月期间的生活方式和饮食调整没有导致非禁食血液透析患者的显著临床或实验室损害.
- 在沙特阿拉伯东部接受血液透析的ESRD患者可以在斋月期间保持他们的临床和代谢稳定性,而不需要禁食.
- 进一步的研究可能会探讨对禁食ESRD患者和各种文化背景的影响.
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