Nutritional Status of Hemodialysis Patients with End Stage Renal Disease and Selection and Application of Oral Nutritional Support
Nutritional Status of Hemodialysis Patients with End Stage Renal Disease and Selection and Application of Oral Nutritional Support
Yueting Chen* and Ying Hu
ABSTRACT
The objective of this study was to analyze the nutritional status of hemodialysis patients with end stage renal disease, and to select oral nutritional support agents with high tolerance. In this experiment, 94 hemodialysis patients with end stage renal disease who were treated in our hospital from August 2020 to July 2022 were selected as research objects. The nutritional status of the patients was evaluated by counting their 24-hour dietary status and using MQSGA (Modified Quantitative Subjective Nutrition Assessment) scale, and was analyzed in combination with the determination of biochemical indicators and body weight. The factors influencing hemodialysis malnutrition of end stage renal disease by single factor linear regression included age, dialysis time, Hb, TG, hs-CRP, BMI, Alb, BUN and Kt/v ratio. The multiple stepwise regression analysis showed that the independent risk factors of malnutrition included age>65 years old, HS-CRP>5 mg/ml and Kt/v<1.2. It was concluded that the incidence of malnutrition in hemodialysis patients with end stage renal disease is relatively high, which is closely related to the age, inflammatory state and dialysis adequacy of the patients. According to nutritional risk characteristics of hemodialysis patients with end stage renal disease, Yixusu (whole nutrient) + whey protein powder can be selected to ensure the demand and consumption of protein during dialysis, improve the immune defense ability of patients and avoid a series of complications caused by malnutrition.
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