Comparison among different peritoneal transport characteristics in nutritional status of peritoneal dialysis patients
- VernacularTitle:不同腹膜溶质转运特性腹膜透析患者营养状况的比较
- Author:
Xiulin GAO
- Publication Type:Journal Article
- Keywords:
Peritoneal dialysis;
Nutrition;
Transport, biological
- From:
Chinese Journal of Nephrology
1997;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence of peritoneal transport characteristics on nutritional status of peritoneal dialysis patients. Methods According to peritoneal equilibrium test (PET), 82 stable CAPD patients were divided into high transport group and low transport group. Total protein, albumin and amino acid in plasma and peritoneal effusive dialysate were measured, meanwhile GPI and nPCR were calculated synchronously. Nutritional status between two groups was compared and correlated factors were analyzed. Results There were no significant differences of remnant renal function, peritoneal dialysis time, daily dialysate dosage, ultrafiltration volume, glucose absorption, blood glucose, BUN, Scr and Kt/V between two groups. Total protein and multiple amino acids lost from daily effusive dialysate were significantly more in high transport group than those in low transport group, whereas nutritional indexes were poorer in high transport group than those in low transport group, including significant decrease of body weight and serum albumin. Levels of albumin and amino acid in blood and effusive dialysate were correlated with peritoneal transport characteristics. Conclusions The nutritional status of peritoneal high transport patients is worse as compared to low transport ones. Only elevating the dialysis sufficiency can not improve the nutritional status obviously. Nutritional management and guidance should be strengthened for the CAPD patients.
