長時期常規血液透析對尿毒症病患營養狀況的影響

Effect of Long-term Regular Hemodialysis on Nutritional Status in Patients with Uremia

10.29805/JHM.200412.0006

黃淑俐(Shu-Li Huang)；楊忠煒(Chung-Wei Yang)

常規血液透析 ； 血液透析時期 ； 營養狀況 ； Regular hemodialysis ； Duration of hemodialysis ； Nutritional status

健康管理學刊

2卷2期（2004 / 12 / 01）

201 - 208

繁體中文

Fifty five uremic patients were studied to evaluate the duration of regular hemodialysis treatment affects their nutritional status. According to the duration of hemodialysis treatment patients were divided into three groups: short-term hemodialysis (ST-HD, 1-8 months), mid-term hemodialysis (MT-HD, 9-69 months), and long-term hemodialysis (LT-HD, more than 70-months). We compared the nutritional assessment parameters among 3 groups. The results revealed that body mass index (BMI) of usual body weight without hemodialysis treatment (24.8±3.7) were significantly higher than BMI of current dry weight (22.1±3.6) in all patients (P＜0.001). The intake of calorie in LT-HD group (31.7±8.0Kcal/kg) was higher than ST-HD group (28.5±7.3Kcal/kg) and MT-HD group (24.3±5.3Kcal/kg) significantly (P=0.024). Mid-arm circumference, tricep skinfold, mid-arm muscle circumference, percentage of body fat and lean body mass, laboratory data (serum albumin, total protein, cholesterol, hemoglobin, hemotocrit, total lymphocyte count), physiological function (hand grip strength), protein intake, and adequate dialysis parameters showed no differences among 3 groups. Average nil-arm muscle circumference and hand grip strength were under the reference value. Protein and calorie intake were lower than recommendation. The results indicate that nutritional status of uremic patients were not affected by variance duration of regular hemodialysis treatment, but diminished body protein store, protein and calorie intake, physiological function were widespread in hemodialysis patients, so that nutrition intervention is vital to achieve nutritional status improvement.

Fifty five uremic patients were studied to evaluate the duration of regular hemodialysis treatment affects their nutritional status. According to the duration of hemodialysis treatment patients were divided into three groups: short-term hemodialysis (ST-HD, 1-8 months), mid-term hemodialysis (MT-HD, 9-69 months), and long-term hemodialysis (LT-HD, more than 70-months). We compared the nutritional assessment parameters among 3 groups. The results revealed that body mass index (BMI) of usual body weight without hemodialysis treatment (24.8±3.7) were significantly higher than BMI of current dry weight (22.1±3.6) in all patients (P＜0.001). The intake of calorie in LT-HD group (31.7±8.0Kcal/kg) was higher than ST-HD group (28.5±7.3Kcal/kg) and MT-HD group (24.3±5.3Kcal/kg) significantly (P=0.024). Mid-arm circumference, tricep skinfold, mid-arm muscle circumference, percentage of body fat and lean body mass, laboratory data (serum albumin, total protein, cholesterol, hemoglobin, hemotocrit, total lymphocyte count), physiological function (hand grip strength), protein intake, and adequate dialysis parameters showed no differences among 3 groups. Average nil-arm muscle circumference and hand grip strength were under the reference value. Protein and calorie intake were lower than recommendation. The results indicate that nutritional status of uremic patients were not affected by variance duration of regular hemodialysis treatment, but diminished body protein store, protein and calorie intake, physiological function were widespread in hemodialysis patients, so that nutrition intervention is vital to achieve nutritional status improvement.