摘要
目的了解我国腹膜透析患者膳食营养摄入情况与前白蛋白水平的关系,寻找改善腹膜透析患者营养状况的有效护理措施。方法对35例长期随诊的腹膜透析患者,检测反映营养状况的生化指标,包括白蛋白、血红素以及血浆前白蛋白,并进行透析充分性评价。对这些患者同时进行1周食谱调查,根据食物成份表计算每日平均蛋白摄入量。对患者膳食结构、蛋白摄入及其与患者临床指标的关系进行分析。结果患者平均每日蛋白摄入量为(0.78±0.24)g/(kg.d),低于推荐摄入量;77%的患者血白蛋白水平低于正常,所有患者均有不同程度的贫血。患者每日蛋白摄入量与血浆前白蛋白水平明显相关,相关系数为0.43,(P<0.05)。患者每日蛋白摄入量,尤其是动物蛋白摄入量,与透析充分性亦相关。结论我国腹膜透析患者蛋白摄入远远低于推荐值,蛋白摄入不足是患者营养不良的原因之一。在护理中应加强腹膜透析患者营养知识的培训,指导患者合理膳食,尤其是进一步提高动物蛋白摄入,以避免营养不良的发生。
Objective To know the relationship between the dietary intake of nutrients and the level of pre-albumin of the patients with peritoneum dialysis in our country, and to seek for an effective nursing measure for improving the nutritional status in the patients with peritoneum dialysis. Methods The biochemistry indexes reflecting the nutritional status, including albumin, haemachrome and plasma pre-albumin, were examined in 35 cases of peritoneum dialysis patients who were followed up over a long period of time. In addition, the sufficiency of the dialysis was evaluated. For these patients, the weekly recipes were surveyed and the average protein intake per day was calculated according to the table of food composition. The dietary structure, the protein intake and the relationship with the clinic indexes of the patients were analyzed. Results The average protein intake per day was （0. 78±0.24）g/（kg·d） which was lower than the recommended quantity. The albumin degree in blood in 77 of the patients was lower than the normal degree, showing that all of the patients had anemia at different extents. There was a significant correlation between the protein intake per day and pre-albumin, with a correlativity index of 0.43 （P 〈 0. 05）. The protein intake per day, especially the animal protein intake, was also correlated with the sufficiency of dialysis. Conclusions The protein intake in the patients with peritoneum dialysis is much lower than the recommended quantity. Insufficiency of protein intake is one of the reasons resulting in cacotrophia. The training of nutritional knowledge should be strengthened in the patients with peritoneum dialysis. Reasonable diary is recommended to the patients. Especially, the animal protein intake should be increased in order to avoid the occurrence of cacotrophia.
出处
《现代护理》
2006年第11期989-991,共3页
Modern Nursing
关键词
腹膜透析
前白蛋白
营养
护理
Peritoneum dialysis
Pre-albumin
Nutrition
Nursing
