CKD患者經營養介入後之效益分析研究

The study of the benefits analysis after nutrition support on chronic kidney disease (CKD) patients

施瑩霞(Ying-Hsia Hsis)

指導教授 ： 徐成金

中山醫學大學/健康管理學院/營養學系碩士班/碩士(2010年)

https://doi.org/10.6834/CSMU.2010.00057

摘要

臺灣洗腎人口目前居亞洲之冠，營養治療在腎臟保健計劃中亦是重要的一環。本研究的目的是為探討一年兩次的飲食指導介入對於慢性腎臟疾病(CKD, Chronic kidney disease)患者體重、生化數值、熱量及蛋白質的攝取是否有正向的助益。研究方法：由秀傳醫院腎臟科門診隨機篩機101位慢性腎臟病患者，給予一年至少兩次的飲食指導衛教，並評估患者的體重、生化數值及熱量、蛋白質攝取前後之間的變化比較，並再進行相關性迴歸性分析其因子間的相關性是否有顯著性差異。結果：所篩選的慢性腎臟病患者以61-70歲人口最多，佔了35.6% ，其中高血壓及糖尿病患者所佔比例最多。在對慢性腎臟疾病患者做營養介入後發現白蛋白、尿素氮(BUN)、肌酸酐(Cr.)、血紅素(Hb)、尿酸、三酸甘油酯、膽固醇、血磷離子及飲食中蛋白質的攝取在營養介入後呈現顯著性的差異(p<0.001)；尿素氮(BUN)、肌酸酐(Cr.)、磷離子及MDRD-GFR等因子經迴歸性分析後發現它們有著顯著性的線性相關，將尿素氮、肌酐酸及磷離子與MDRD-GFR比較發現其線性關係存在著明顯的負相關(p<0.001)；而尿素氮與肌酐酸之間的線性關係顯示正相關性。統計方法：pair t-test及regression analysis。結論：營養介入對慢性腎臟疾病患者是具有助益的。

關鍵字

慢性腎臟疾病 ； 營養介入

並列摘要

It is a large population of patients with hemodialysis in Taiwan. Nutritional support is important for these patients.
This study was aimed to understand the effect of dietary guide twice per year upon nutritional status for these patients in Show-Chung hospital. Results showed after one-year interventional program, albumin, BUN, creatinine, hemoglobin, uric acid, TG, cholesterol, phosphorus and dietary protein were significantly changed (p<0.001), in which MDRD-GFR was negatively correlated with BUN, creatinine and phosphours (p<0.001). This study found that dietary guide for chronic kidney disease patients twice per year was beneficial.

並列關鍵字

chronic kidney disease ； nutrition support

參考文獻

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