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[血液透析营养状况和营养不良炎症评分]
Carlos Iván Cerda-Méndez1, Omar Alfredo Jiménez-García1, José Oscar Juárez-Sánchez1
1Instituto Mexicano del Seguro Social, Centro Médico Nacional del Bajío, Hospital de Especialidades No. 1, Servicio de Nefrología. León, Guanajuato, México.
接受血液透析 (HD) 的患者经常经历营养状况不佳,这表明需要监测协议以改善慢性病 (CKD) 的结果. 这项研究评估了HD患者的营养状况,揭示了广泛的营养不良.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床营养学 临床营养学
- 内部医学 内部医学
背景情况:
- 慢性病 (CKD) 患者面临营养和代谢问题的风险,包括蛋白质能量浪费,肥胖,缺乏和与尿血相关的食欲变化.
- 血液透析 (HD) 患者的特定营养状况在很大程度上仍未被描述.
研究的目的:
- 评估CKD患者的营养状况,这些患者在第三级护理中心通过HD接受脏替代疗法.
- 为了确定这种患者群体中营养不良和炎症的患病率.
主要方法:
- 进行了一项观察性,双观测性,纵向研究.
- 营养不良和炎症评分 (MIS) 给了52名参与的高发性疾病患者.
- 收集的数据包括人口统计,体重指数 (BMI),白细胞,白蛋白,转移素和疾病持续时间.
主要成果:
- 大多数患者 (61.5%) 呈现轻度营养不良和炎症 (MIS),而34.6%有中度和1.9%有严重的MIS.
- 只有1.9%的患者表现出正常的MIS得分.
- 参与者的平均年龄为46.51岁,65.4%是男性.
结论:
- 接受HD治疗的CKD患者显示营养状况明显差.
- 实施专门的营养监测协议对于改善患者的治疗结果,降低发病率和降低死亡率至关重要.
- 早期发现和管理HD患者的营养不良是必不可少的.
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