摘要
目的观察对比糖尿病肾病和非糖尿病肾病腹膜透析患者容量负荷及营养状态。方法该院2019年2月—2020年2月收治的108例行腹膜透析治疗患者为该次研究对象,按照患者疾病类型是否为糖尿病肾病分为A组(54例糖尿病肾病)与B组(54例非糖尿病肾病),比较两组患者容量负荷及营养状态。结果A组患者治疗6个月后血压、尿量以及超滤量等容量负荷相关参数均高于B组,数据差异有统计学意义(P<0.05)。A组患者治疗6个月后水肿个体所占比例62.96%显著高于B组48.15%,数据差异有统计学意义(χ^(2)=5.523,P<0.05)。A组患者治疗6个月后白蛋白、总蛋白等营养指标均低于B组,数据差异有统计学意义(P<0.05)。A组患者治疗6个月后营养不良率74.07%显著高于B组营养不良率38.89%,数据差异有统计学意义(χ^(2)=13.599,P<0.05)。结论糖尿病肾病患者与非糖尿病肾病患者经血液透析治疗6个月后处于较高的容量负荷状态,营养状态较差。
Objective To observe and compare the volume load and nutritional status of peritoneal dialysis patients with diabetic nephropathy and non-diabetic nephropathy.Methods 108 patients undergoing peritoneal dialysis treatment in the hospital from February 2019 to February 2020 are the subjects of this study.According to whether the patient’s disease type is diabetic nephropathy,they were divided into group A(54 cases of diabetic nephropathy)and group B(54 cases of non-diabetic nephropathy),the volume load and nutritional status of the two groups were compared.Results The blood pressure,urine output,ultrafiltration volume and other volume load-related parameters of patients in group A were higher than those in group B after 6 months of treatment,with statistically significant differences(P<0.05).The proportion of individuals with edema after 6 months of treatment in group A was 62.96%significantly higher than that in group B 48.15%,with statistically significant differences(χ^(2)=5.523,P<0.05).After 6 months of treatment in group A,the nutritional indicators such as albumin and total protein were lower than those in group B,with statistically significant differences(P<0.05).The malnutrition rate in group A after 6 months of treatment was 74.07%,which was higher than malnutrition rate of 38.89%in group B,and the difference was significantly different(χ^(2)=13.599,P<0.05).Conclusion Patients with diabetic nephropathy and non-diabetic nephropathy are in a state of high volume load and poor nutritional status after 6 months of hemodialysis treatment.
作者
杨小桃
YANG Xiao-tao(Department of Nephrology,the First People's Hospital of Qujing City,Qujing,Yunnan Province,655000 China)
出处
《糖尿病新世界》
2021年第3期183-185,共3页
Diabetes New World Magazine
关键词
糖尿病肾病
非糖尿病肾病
腹膜透析
容量负荷
营养状态
Diabetic nephropathy
Non-diabetic nephropathy
Peritoneal dialysis
Volume load
Nutritional status
