老年人营养风险指数与在接受维护血液透析的老年患者中进行日内分析的低血压之间的相关性:一项病例对照研究
Dan Zhang1, Zhoushan Fu1, Xiaoqin Wan1
1Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 888 Shuangding Road, Jiading District, Shanghai, 201801, China.
较低的老年营养风险指数 (GNRI) 与老年血液透析患者的更高的内透析性低血压 (IDH) 风险有关. GNRI评估可以帮助预测和潜在地减少IDH发病率.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 老年病的医生 老年病的医生
- 营养科学 营养科学
背景情况:
- 营养状况影响维持血液透析 (MHD) 患者的结果.
- 有限的研究存在于老年营养风险指数 (GNRI) 和日内分析性低血压 (IDH).
研究的目的:
- 调查老年MHD患者GNRI和IDH之间的相关性.
- 评估GNRI对IDH风险的预测价值.
主要方法:
- 一项病例控制研究涉及129名患有IDH的MHD患者和258名对照.
- 收集的数据包括人口统计,透析指标,人体测量,生物化学品和GNRI.
- 用物流回归分析来确定GNRI和IDH之间的关联.
主要成果:
- 在老年MHD患者中,GNRI水平和IDH风险之间发现了显著的反相关性.
- 与Q4组相比,较低的GNRI得分 (Q1,Q2,Q3) 与IDH的几率增加有关.
- GNRI显示IDH具有良好的预测能力,AUC为0.839.
结论:
- 在老年MHD患者中,GNRI与IDH发生率显著相关.
- GNRI 作为 IDH 的一个有价值的警告指标.
- 将GNRI评估纳入临床方案可能会改善营养状况并降低IDH风险.
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