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目的观察高通量透析联合肠外营养疗法对维持性血液透析患者营养不良的治疗效果。方法将60例透析患者随机分为对照组和试验组,每组30例。治疗组采用高通量透析及血液滤过的治疗同时静脉输入糖类、氨基酸和脂肪乳,纠正营养不良,对照组采用普通透析,常规饮食指导,3个月后比较两组疗效。结果治疗后两组患者的体质量、三角肌皮褶厚度、血清蛋白,前清蛋白及患者的主观感受比较差异均有统计学意义(P<0.05)。结论高通量透析联合肠外营养疗法对维持性透析患者营养不良疗效显著,适合临床推广。
Objective To observe the therapeutic effect of high-flux dialysis combined with parenteral nutrition therapy on malnutrition in maintenance hemodialysis patients. Methods Sixty dialysis patients were randomly divided into control group and experimental group, 30 cases in each group. The treatment group was treated with high-flux dialysis and hemodiafiltration while intravenous infusion of sugars, amino acids and fat emulsion, to correct malnutrition, the control group using ordinary dialysis, conventional diet guidance, three months later, the two groups were compared. Results After treatment, the body weight, the thickness of the deltoid muscle, the serum protein, the prealbumin and the subjective feelings of the patients in the two groups were significantly different (P <0.05). Conclusion High-throughput dialysis combined with parenteral nutrition therapy for patients with maintenance dialysis malnutrition significant effect, suitable for clinical promotion.