目的 探讨维持性血液透析患者联合应用左卡尼汀、心理干预对其机体营养指标、炎症状态的影响效果.方法 选取本院2016年9月～2016年12月收治的75例接受维持性血液透析治疗患者,经单双数字法(入院就诊顺序)随机分为对照组37例和研究组38例.对照组在血液透析治疗基础上加用左卡尼汀;研究组在使用左卡尼汀基础上加用心理干预.结果 治疗前2组ALB、Hb、BMI、IL-6、CRP等指标检测值对比差异无统计学意义;经相应治疗后研究组ALB、Hb、BMI、IL-6、CRP等炎症状态及营养指标改善效果优于对照组(P<0.05).结论 维持性血液透析患者应用左卡尼汀联合心理干预可显著改善其机体微炎症状态及营养指标,对保障患者生活质量及身心健康均具有积极意义.%Objective To investigate the effect of L-carnitine combined with psychological intervention on nutritional status and inflammatory status in maintenance hemodialysis patients. Methods 75 cases of maintenance hemodialysis patients treated in our hospital from September 2016 to December 2016 were randomly divided into control group(n=37) and study group(n=38)by single and double number method (hospital visit order). The control group in the hemodialysis treatment combined with Levocarnitine; the study group in the use of L-carnitine combined with psychological intervention. Results There were no significant differences in ALB, Hb, BMI, IL-6 and CRP between the two groups before treatment. After the corresponding treatment, the improvement of ALB, Hb, BMI, IL-6, CRP and other inflammatory indexes and nutritional indexes in the study group were better than those in the control group(P<0.05). Conclusion The application of L-carnitine in maintenance hemodialysis patients combined with psychological intervention can significantly improve the body's Micro inflammatory status and nutrition indicators, has positive significance to protect the patients' quality of life and physical and mental health.
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