中国血液净化

›› 2007, Vol. 6 ›› Issue (12): 649-651.

• 论著 • 上一篇    下一篇

血液透析患者3种整体营养状况评估方法的比较研究

胡明亮 郑智华 黄 莺 王晓华 张 辉 余学清   

  1. 510080 广州，中山大学附属第一医院肾内科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-12-12 发布日期:2007-12-12

  • Received:1900-01-01 Revised:1900-01-01 Online:2007-12-12 Published:2007-12-12

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摘要： 目的 比较研究血液透析患者3种整体营养评估方法(SGA、MQSGA、CMIS)与客观营养指标如(血生化、人体指数学)的相关性，为选择血液透析患者营养状态的临床评估方法的提供依据。 方法 使用主观整体评估(SGA)、改良定量主观整体评估(MQSGA)、营养不良炎症综合评估(CMIS)3种营养评估方法评估中山大学附属第一医院肾内科血液透析患者营养状况；同时测定患者人体指数学、白蛋白、IGF-1等客观营养指标；SPSS10.0统计处理其相关关系。结果 SGA、MQSGA、CMIS3种整体营养不良的评估方法各有特点，与血生化和人体学指标呈现明显相关关系(P＜0.05)。但是以MQSGA与常用客观营养指标的复合相关系数最大(r=0.985)，相关性最为密切，其次CMIS和SGA。结论 SGA、MQSGA、CMIS3种评估方法都具有较好的准确性和可靠性，但以MQSGA较优。MQSGA更为客观准确，而且简单、无创，故较适合评估透析患者的整体营养状态。

关键词: 血液透析, 营养不良, SGA, MQSGA, CMIS

Abstract:

Objectives Comparing three methods which were used to evaluate nutritional status in hemodialysis patients. Methods SGA, MQSGA, and CMIS were used to evaluate the nutritional status. Anthropometry and ALB, IGF-1 of serum was assessed. Results There were significant positive relationships between SGA, MQSGA，CMIS, and HGS, BSF, TSF, MAMC, AMA, ALB, IGF-1. Furthermore, there was also significant correlative relationship between SGA, MQSGA, CMIS, and nutritional composite correlative coefficient. Finally, it demons-trated that the composite correlative coefficient was bigger in MQSGA than in SGA or CMIS. Conclusions SGA, MQSGA and CMIS can be used to evaluate the nutritional status, but MQSGA is better in the three methods in nutrition assessment of HD patients.

Key words: MQSGA, CMIS, nutritional status, hemodialysis

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