Chinese Journal of Blood Purification ›› 2020, Vol. 19 ›› Issue (05): 301-304.doi: 10.3969/j.issn.1671-4091.2020.05.004

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Study on the improvement of malnutrition and mineral bone metabolism in dialysis patients by electronic intelligent assistant tools 

  

  1. 1Blood Purification Center, Department of Nephrology, Daping Hospital, Army Military Medical University, Chongqing 400042, China
  • Received:2020-01-27 Revised:2020-02-25 Online:2020-05-12 Published:2020-05-12

Abstract: 【Abstract】Objective To explore the effects of electronic intelligent assistant tools on improving malnutrition and mineral bone metabolism in dialysis patients. Methods A total of 136 patients with mineral bone abnormalities and treated with dialysis in our hospital from Oct. 2018 to Oct. 2019 were divided into a control group (traditional management group) and a research group (intervention by electronic intelligent assistant tools) by using the single and double number random method. Electronic intelligent assistant tools were integrated into the nutrition management of dialysis patients. In control group, conventional dialysis treatment, standard medication and auxiliary education and guidance are given; in research group, electronic intelligent
assistant tools were integrated into nutrition guidance in addition to the conventional dialysis treatment and nursing. After 12 months, hemoglobin, albumin, malnutrition inflammation score (MIS), blood calcium, phosphorus and iPTH levels and their compliance rates were determined. Results After the enrollment for 12 months, albumin (t=- 3.113, P=0.003) and hemoglobin (t=- 3.176, P=0.002) were significantly higher in research group than in control group; the MIS score was significantly lower in research group than in control group (t=2.486, P=0.024). The compound dialysis modalities (χ2=0.762, P=0.437), and use of non- calciumphosphate-containing binders (χ2=0.697, P=0.680), active vitamin D (χ2=0.029, P=0.500) and erythropoietin
(χ2=0.299, P=0.136) had no significant differences between the two groups. The compliance rate of serum calcium was 57.4% in research group, significantly higher than that (30.9%) in control group (χ2=10.206, P=0.002). Serum phosphorus was significantly lower in research group than in control group (t=2.170, P=0.043), and the compliance rate of serum phosphorus was significantly higher in research group than in control group (χ2=7.909, P=0.007). The average level of iPTH was lower in research group than in control group (t=2.865, P=0.005). The average level of calcium-phosphorus product was (3.47±0.73) in research group, lower than that (4.89 ± 0.88) in control group (t=2.610, P=0.016). Conclusion Use of electronic intelligent assistant tools for the management of diet can improve calcium and phosphorus metabolism disorders and malnutrition in dialysis patients.

Key words: Electronic intelligent assistant tools, Mineral and bone metabolism abnormalities in chronic kidney disease patients, Abnormal calcium and phosphorus metabolism, Hyperphosphatemia, Malnutrition

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