改良低蛋白饮食加复方 a－酮酸对血透患者营养状况的影响

摘要

Objective:To investigate and analyze the effect of modified low protein diets combined with compound a -ketoacids on nutritional level of pa-tients with hemodialysis.Methods: Selected 22 uremia patients with maintenance hemodialysis cured at our hospital as study objects and gave them therapy of modified low protein diets combined with compound a -ketoacids.Results:Before and after using modified low protein diets combined with compound a-ketoacids, patients'serum albumin, hemoglobin, total cholesterol level, body mass index and arm muscle circumference all had statistical significances (P<0.05) and patients'nutritional status had obvious differences.Meanwhile, we found that patient'phosphorus and multiplication of calcium and phos-phorus declined and it had statistical significances (P<0.05).Conclusion: Improved low protein diets combined with compound a -ketoacids can make the nutritional status of patients with hemodialysis reach the standard level and can effectively improve the metabolic disorders of calcium and phosphorus of patients with maintenance hemodialysis , so its application can be promoted .%目的：探讨分析改良低蛋白饮食加复方a－酮酸对血透患者营养达标的效果。方法：将我院接收维持性血液透析的22名尿毒症患者作为研究对象，予以改良低蛋白饮食加复方α－酮酸饮食治疗。结果：患者应用改良低蛋白饮食加复方a－酮酸前后血清白蛋白、血红蛋白、总胆固醇水平、体重指数和上臂肌围间比较差异均有统计学意义（P＜0．05），提示患者营养状况有明显差异。同时发现，患者血磷、钙磷乘积较治疗前降低，差异有统计学意义（P＜0．05）。结论：改良低蛋白质饮食加复方α－酮酸能使血透患者营养达标，同时可有效改善维持性血透患者钙磷代谢紊乱，值得推广应用。