Influencing factors of protein energy wasting in maintenance hemodialysis patients
10.3760/cma.j.cn121382-20210315-00409
- VernacularTitle:维持性血液透析患者发生蛋白质能量消耗的危险因素研究
- Author:
Jing ZHANG
1
;
Jie TIAN
;
Hongling WANG
;
Zhengzhong HE
Author Information
1. 中国医学科学院血液病医院（中国医学科学院血液学研究所），实验血液学国家重点实验室，国家血液系统疾病临床医学究中心，天津 300020
- Keywords:
Hemodialysis;
Protein energy wasting;
Influencing factors
- From:
International Journal of Biomedical Engineering
2021;44(4):300-306
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the main risk factors of protein energy expenditure (PEW) in maintenance hemodialysis (MHD) patients.Methods:According to diagnostic criteria, 166 patients with MHD were divided into PEW group and control group. The general clinical data, physical indexes, and physical and chemical analysis results of all patients was collected, and the differences in indexes between the two groups of patients were compared. Logistic analysis was used to find the risk factors of MHD combined with PEW.Results:There were statistically significant differences in blood pressure, protein intake, vitamin intake, and uric acid, creatinine, blood calcium levels between the PEW group and the control group (all P<0.05). Multivariate logistic regression analysis showed that blood pressure, daily sleep time, whether to take vitamins, body mass index (BMI), creatinine and parathyroid hormone (PTH) were the risk factors of MHD combined with PEW. Conclusions:In clinical practice, more attention should be paid to controlling blood pressure, improving sleep, and supplementing vitamins in patients with MHD.
