中国血液净化

中国血液净化 ›› 2022, Vol. 21 ›› Issue (10): 749-753.doi: 10.3969/j.issn.1671-4091.2022.10.010

• 临床研究 • 上一篇    下一篇

腹膜透析和血液透析患者静息能量消耗比较

付 纲   徐 潇   郭姗姗   王玉柱   董 捷   刘文虎   

  1. 100050 北京，1首都医科大学附属北京友谊医院肾内科 
    100080 北京，2北京市海淀医院肾内科
    100034 北京，3北京大学第一医院肾内科
    通讯作者：刘文虎 100050 北京，1首都医科大学附属

  • 收稿日期:2022-03-28 修回日期:2022-07-01 出版日期:2022-10-12 发布日期:2022-10-12
  • 通讯作者: 刘文虎 E-mail:liuwh0211@emzu.com.cn

Comparison of the resting energy expenditure in peritoneal dialysis and hemodialysis patients 

FU Gang, XU Xiao, GUO Shan-shan, WANG Yu-zh2, DONG Jie3, LIU Wen-hu   

  1. Department of Nephrology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China; 2Department of Nephrology, Beijing Haidian Hospital, Beijing 100080, China; 3Department of Nephrology, Peking University First Hospital, Beijing 100034, China
  • Received:2022-03-28 Revised:2022-07-01 Online:2022-10-12 Published:2022-10-12
  • Contact: 100050 北京，1首都医科大学附属北京友谊医院肾内科 E-mail:liuwh0211@emzu.com.cn

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摘要： 目的  比较腹膜透析(peritoneal dialysis，PD)患者和血液透析(hemodialysis，HD)患者的静息能量消耗(resting energy expenditure,REE)的差异。 方法  选取北京市2家三级医院临床稳定的105例PD和35例HD患者，进行REE测定。 结果  本研究纳入患者的平均年龄(52.5±11.9)岁，平均体质量(68.6±15.1)kg，其中男性86例(57.7%)，糖尿病61例(43.6%)。HD患者和PD患者REE水平没有显著性差异(r=1.731，P=0.086)。HD和PD患者的REE均与身高(r=0.399、0.574，   P=0.018、＜0.001)、体质量(r=0.756、0.730，均P＜0.001)、性别(男性：r=0.481、0.582，P=0.003、   ＜0.001)、握力(r=0.584、0.551，P＜0.001)和瘦体质量(r=0.674、0.677，均P＜0.001)呈正相关，与年龄(r=-0.432、-0.254，P=0.010、0.009)、透析龄(r=-0.356、-0.289，P=0.036、0.003)和透析充分性(Kt/V)(r=-0.786、-0.326，P＜0.001、0.002)呈负相关。 结论  年龄、性别、体质量和是否糖尿病相当的HD和PD患者，REE水平无显著差异。

关键词: 腹膜透析, 血液透析, 静息能量消耗

Abstract: Objective  We aimed to compare the resting energy expenditure (REE) between peritoneal dialysis (PD) patients and hemodialysis (HD) patients.  Methods   This cross-sectional study enrolled 105 PD patients and 35 HD patients who were clinically stable from two tertiary hospitals in Beijing. Their REE was measured by indirect calorimetry.  Results   The mean age of the patients was 52.5±11.9 years old, and the body weight was 68.6±15.1kg, 57.7% being man and 43.6% having diabetes. The REE was 1432.6±339.4 kcal in HD patients and was 1334.6±271.8 kcal in PD patients, without significant difference between PD and HD patients (P=0.086). REE was positively correlated with height (r=0.399/0.574, P=0.018/＜0.001), weight (r=0.756/0.730, P＜0.001), male (r=0.481/0.582, P=0.003/＜0.001), grip strength (r=0.584/0.551, P＜0.001) and lean body mass (r=0.674/0.677, P＜0.001), negatively correlated with age (r=-0.432/-0.254, P=0.010/0.009), dialysis age (r=-0.356/-0.289, P=0.036/0.003) and urea clearance (Kt/V) (r=-0.786/-0.326, P＜0.001/0.002) in both HD and PD patients.  Conclusions  There was no significant difference in REE level between HD and PD patients.

Key words: Peritoneal dialysis, Hemodialysis, Resting energy expenditure

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