【www.zhangdahai.com--地税国税公文写作】
[摘要] 目的:通过探讨维持性血液透析患者营养状况并探讨骨代谢毒素对营养不良的影响,为营养不良和肾性骨病的治疗提供依据。方法:入选维持性血液透析患者69例,测定指标,①肾性骨病相关毒素,血清甲状旁腺素(PTH)、血钙、磷;②营养学测定,MQSGA、白蛋白、IGF-1、IGF-BP3、人体指数学测量(BSF、TSF、MAC、MAMC);③贫血指标,Hb、HCT、转铁蛋白(TF);④微炎症标志,血清C-反应蛋白(CRP)。结果:血液透析患者营养不良发生率达69.6%;iPTH与MQSGA、ALB、Hb、MAC、MAMC、IGF-1相关性存在统计学意义,P
[参考文献]
[1]Stenvinkel P,Heimburger O,Lindholm B,et al.Are there two types of Malnutrition in chronic renal failureEvidence for relationships between MIA syndrome[J].Nephrol Dial Transplant,2001,15:953-960.
[2]马祖等,郑智华,张涤华,等.血液透析和腹膜透析患者生存质量的多中心调查[J].中华肾脏病杂志,2004,20(6):3-9.
[3]Kamyar Kalantar Zadeh,Morton Kleiner,Eileen Dunne,et al.A modified quantitative subjective global assessment of nutrition for dialysis patients[J].Nephrol Dial Transplant,1999,14:1732-1738.
[4]L.T.T.Rezende,L.Cuppan,A.B.Carualho,et al.Nutritional status of hemodialysis patients with secondary hyperparathyroidism[J].Brazilian Journal of Medical and Biological Research,2000,33(11):1305-1311.
[5]Yasunaga C,Nakamoto M,et al.Effects of a parathyroidectomy on the immune system and nutritional conditional in chronic dialysis patients with secondary hyperparathyroidism[J].The American Journal of surgery,1999,178(4):332-336.
[6]Bardin T.Musculoskeletal manifestations of chronic renal failure[J].Curr Opin Rheumatol 2003,15(1):48-54.
[7]Grzegorzewska AE,Mariak I.Parathyroid hormone contributes to variations in blood morphology in diabetic and non diabetic patients treated with continuous ambulatory peritoneal dialysis[J].Adve Perit Dial,2001,17:5-9.
[8]Neves PL,Trivino J,Casaubon F,et al.Elderly patients on chronic hemodialysis:effect of the secondary hyperparathyroidism on the hemoglobin level[J].Int Urol Nephrol,2002,34(1):147-149.
[9]Gunnell J,Yeun JY,Depner TA,et al.Acute-phase response predicts erythropoietin resistance in hemodialysis and peritoneal dialysis patients[J].Am J Kidney Dis,1999,33(1):63-72.
[10]Jehle PM,Ostertag A,Schulten K,et al.Insulin-like growth factor components in hyperparathyroidism and renal osteodystrophy[J].Kidney Int,2000,57(2):423-436.
(收稿日期:2009-06-01)
