营养和炎症指标对腹透析启动和管理的影响
Shunta Hori1, Mitsuru Tomizawa1, Kuniaki Inoue1
1Department of Urology, Nara Medical University, 840 Shijo-Cho, Kashihara, Nara, 634-8522, Japan.
Clinical and experimental nephrology
|November 23, 2023
概括
营养和炎症的指标,包括C反应蛋白 (CRP),对于预测腹腔透析 (PD) 患者的存活率至关重要. 这些因素有助于评估死亡率和心血管疾病风险,指导临床管理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 临床营养学 临床营养学
- 炎症研究 炎症研究
背景情况:
- 营养和炎症是透析患者健康的关键因素.
- 以前的研究已经确定了这些因素的临床意义.
研究的目的:
- 研究营养和炎症指标与患者预后之间的关联.
- 在腹腔透析 (PD) 患者中确定生存和无心血管疾病生存的预测因素.
主要方法:
- 从2006年到2021年,对253名PD患者进行了回顾性审查.
- 对9个营养指标和2个炎症标志物的评估,包括C反应蛋白 (CRP).
- 通过多变量分析探索患者的结果和预测因素.
主要成果:
- 营养指标和CRP水平与残留功能有显著的相关性.
- 生存指数,营养风险指数和CRP是患者生存和无心血管疾病生存的独立预测指标.
- 低生存指数 (<19) 和高CRP (≥0.5) 表示死亡率和心血管死亡风险显著增加.
结论:
- 营养和炎症标志物对于预测PD患者的结果至关重要.
- 这些指标可以帮助分层对死亡率和心血管事件的风险.
- 需要进一步的研究,以基于这些标志物,为PD患者制定最佳的治疗策略.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
337
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
337
Dialysis
326
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
326
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
180
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
180
Inflammatory Bowel Disease II: Crohn's Disease
256
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
256
Chronic Pancreatitis II: Collaborative Care
94
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
94
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
174
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
174


