加强膳食营养对长期血液透析患者营养及炎症状态的影响

Effect of dietary nutrition on nutrition and inflammation in long-term hemodialysis patients

中文关键词:  膳食营养  维持性血液透析  营养状况  炎症指标

英文关键词:dietary nutrition  maintenance hemodialysis  nutritional status  inflammation index

中文摘要:

      目的 探究加强膳食营养对长期血液透析患者营养指标及炎症反应的影响。方法 收集2012年3月至2017年3月我院收治的维持性血液透析患者90例, 其中43例患者采用常规护理设为对照组, 另外47例患者则在常规护理的基础上给予膳食营养摄入干预护理设为研究组。比较2组患者护理干预前、后的营养指标及炎症因子水平变化情况。结果 护理干预后, 研究组患者的营养不良发生率明显低于对照组患者(P＜0.05); 研究组患者的各项血清营养指标水平均明显高于对照组患者(P＜0.05); 研究组患者的各项血清炎症因子水平均显著低于对照组患者(P＜0.05), 差异均存在统计学意义。结论 加强膳食营养干预可明显缓解长期血液透析患者的微炎症反应, 并改善患者的营养状况, 值得临床进一步推广应用。

英文摘要:

      Objective To explore the effect of dietary nutrition intake on nutritional indicators and inflammatory response in long-term hemodialysis patients. Methods Ninety patients with maintenance hemodialysis patients admitted to our hospital from March 2012 to March 2017 were collected. Among them, 43 patients were treated with routine care as the control group, and 47 patients were given the dietary nutrition intervention on the basis of routine care as study group. The changes of nutritional indicators and inflammatory factors levels before and after nursing intervention were compared between the two groups. Results After the nursing intervention, the incidence of malnutrition in the study group was significantly lower than that in the control group (P<0.05). The serum nutrition index of the study group was significantly higher than that of the control group (P<0.05). The levels of serum inflammatory factors in the study group were markedly lower than those in the control group (P<0.05), and the differences were statistically significant. Conclusion Strengthening dietary and nutrient intake intervention can significantly alleviate the micro-inflammatory response of long-term hemodialysis patients and improve the nutritional status of patients, which is worthy of further clinical application.