低磷饮食干预对肾衰竭血液透析患者营养状况心理状况血磷血糖管理影响.docVIP

低磷饮食干预对肾衰竭血液透析患者营养状况、心理状况、血磷、血糖管理的影响 　　DOI：10.16662/j.cnki.1674-0742.2017.09.026 　　[摘要] 目的 探?分析低磷饮食干预对改善肾衰竭血液透析患者身体状况和心理状态的效果。方法 该次所有研究资料均为方便选择该院接收治疗的肾衰竭血液透析患者，选择治疗时间为2013年7月―2016年7月，共选择64例患者，并采用随机数字抽取表法对64例患者进行分组，每组32例，其中对传统组采用常规饮食干预进行治疗，观察组采用低磷饮食干预进行治疗，对两组患者实施饮食干预后的身体指标改善情况和心理状态改善情况进行对比分析。结果 传统组与观察组 治疗前 血清清蛋白、前清蛋白及血磷等指标比较差异无统计学意义（P0.05）。干预后，两组患者各指标均明显改善，其中观察组改善效果更明显，血清清蛋白、前清蛋白及血磷等指标改善程度显著优于传统组，数据比较差异有统计学意义（P0.05）；观察组患者低血糖发生率为3.13%，传统组患者低血糖发生率为18.75%，数据比较差异有统计学意义（P0.05）。观察组敌对、偏执、躯体化、强迫、敏感人际、恐怖、焦虑、抑郁、精神病性及其他等心理状态指标评分均显著低于对照组，数据比较差异有统计学意义（P0.05）。结论 将低磷饮食干预应用在肾衰竭血液透析患者治疗中能够明显提高患者的营养状况和改善患者的心理状态，降低患者血磷含量，利于患者的健康。 　　[关键词] 低磷饮食干预；肾衰竭；血液透析 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742（2017）03（c）-0026-04 　　Effect of Low Phosphate Dieting Intervention on the Nutrition Status， Mental Status， Blood Phosphorus and Blood Glucose 　　GUO Yan-hong， FU Chun-yan， HUANG Qun 　　Department of Nephrology， Shanwaishan Hospital of Traditional Chinese Medicine， Chongqing， 400061 China 　　[Abstract] Objective To study and analyze the effect of low phosphate dieting intervention on the physical condition and mental state of patients with renal failure haemodialysis. Methods 64 cases of patients with renal failure haemodialysis admitted and treated in our hospital from July 2013 to July 2016 were conveniently selected and randomly divided into two groups with 32 cases in each， the traditional group were treated with routine dieting intervention， while the observation group were treated with low phosphate dieting intervention， and the improvement situation of physical indexes and mental state after the implementation was compared between the two groups. Results The differences in the serum albumin， prealbumin and blood phosphate before treatment between the two groups were not statistically significant（P0.05），after the intervention， various indexes of the two groups were obviously improved， and the improvement effect in the observation group was more obvious， and the improvement effect of