| 凌河.慢性肾脏病非透析患者的营养治疗[J].实用中西医结合临床,2016,16(3): |
| 慢性肾脏病非透析患者的营养治疗 |
| Chronic kidney disease (CKD) nutrition in patients without dialysis treatment |
| 投稿时间：2016-03-02 修订日期：2016-03-20 |
| DOI： |
| 中文关键词: 慢性肾脏病 非透析患者 营养治疗 |
| 英文关键词: Chronic kidney disease (CKD) The dialysis patients Nutrition therapy |
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| 中文摘要: |
| 【摘要】目的：探讨慢性肾脏病非透析患者的营养治疗干预, 以改善患者营养不良，保护残余肾功能,延缓透析时间。方法：选择80例CKD3～5期的患者, 在治疗前测每位患者身高、体重计算体重指数（BMI）,并空腹取静脉血测肾功能、电解质、血脂等；在营养师的指导下给予营养治疗6月后，再次测BMI及上述生化指标。结果：完成随访的80例患者经营养治疗后，BMI基本达标，营养不良情况、肾功能、电解质和血脂情况明显改善, 与干预前对比差异具有统计学意义(P<0.05)，固然血肌酐改善无统计学意义，但营养治疗并未导致肌酐进一步上升。结论：慢性肾脏病非透析患者经营养治疗可改善患者营养不良和肾功能恶化、血脂异常及电解质紊乱, 延缓进入透析的时间。 |
| 英文摘要: |
| 【 abstract 】 objective: to study the therapeutic interventions in dialysis patients with chronic kidney disease (CKD) nutrition, to improve the patients malnutrition, protection of residual renal function, delay time of dialysis. Methods: choose 80 CKD3 ~ 5 issue of the patients, take on an empty stomach before intervention in venous blood test, blood urea nitrogen (BUN), serum creatinine (SCr), plasma albumin. Nutritional therapy after June, blood biochemical indicators to measure the again. Results: 80 patients with complete follow-up operations have poor nutrition and kidney function is significantly improved after treatment, before and after serum albumin, urea nitrogen were obviously improved, compared with before intervention differences statistically significant (P < 0.05), while serum creatinine improve without statistical significance, but the nutritional therapy did not result in creatinine rise further. Conclusion: chronic kidney disease in dialysis patients |
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