老年血液透析病人营养状况以及主观综合营养评估法与透析营养客观评分法评估效果比较

doi:10.3969/j.issn.1003-9198.2023.12.013

Abstract

Abstract: Objective To explore the nutrition status in the elderly patients undergoing hemodialysis,and to compare the efficiency of subjective global assessment (SGA) and Objective Score of Nutrition on Dialysis (OSND)in evaluating the nutritional status. Methods A total of 120 elderly hemodialysis patients were enrolled in the observation group, and 120 healthy elderly receiving physical examination were enrolled in the control group. The nutrient composition-related indicators and blood biochemical indicators of the two groups were detected and compared. SGA and OSND were used to assess the nutritional status of the elderly patients undergoing hemodialysis. The correlations of SGA and OSND with nutritional indexes and blood biochemial indicators were analyzed. Results The level of high-sensitivity C-reaction protein (hs-CRP) in observation group was higher than that in the control group (P<0.01); The levels of body fat, body fat ratio, protein, hemoglobin (Hb), blood urea nitrogen(BUN), high-density lipoprotein cholesterol (HDL-C), albumin (Alb), total cholesterol (TC) and triglyceride(TG)in the observation group were lower than those in the control group (P<0.01). Among 120 elderly hemodialysis patients, 3 cases (2.50%) presented with normal nutrition and 117 cases (97.50%) presented with malnutrition according to SGA evaluation criteria; According to the OSND standard, 5 cases (4.17%) presented with normal nutrition and 115 cases (95.83%) presented with malnutrition. Correlation analysis showed that SGA was negatively correlated with body fat ratio, the levels of protein, HDL-C, Alb, TC and low-density lipoprotein cholesterol (LDL-C) (P<0.05); OSND was negatively correlated with body fat ratio, the levels of body fat,HDL-C, Alb, TC, LDL-C, TG, Hb, BUN(P<0.05), and positively correlated with the levels of protein and hs-CRP(P<0.05). Conclusions SGA and OSND are suitable for nutritional evaluation in the elderly hemodialysis patients. The nutrition status of elderly hemodialysis patients is poor, and it is necessary to conduct comprehensive intervention timely.

Key words: aged, hemodialysis, nutrition status, subjective global assessment, Objective Score of Nutrition on Dialysis

CLC Number:

R 692.5

HAN Meng-ling, MA Xun, XU Wei, WANG Mi, YANG Jia-hui. Nutrition status and the efficiency comparison of subjective global assessment and Objective Score of Nutrition on Dialysis in evaluating the nutritional status of elderly patients undergoing hemodialysis[J]. Practical Geriatrics, 2023, 37(12): 1242-1245.

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Nutrition status and the efficiency comparison of subjective global assessment and Objective Score of Nutrition on Dialysis in evaluating the nutritional status of elderly patients undergoing hemodialysis

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