| [Objective] To observe the nutritional status of patients with maintenance hemodialysis(MHD)in our hospital。 To observe the relationship between nutritional status and blood biochemical indicators;at the same time,according to the patient’s four diagnosis information for syndrome differentiation to explore the relationship between the nutritional status and TCM syndromes of maintenance hemodialysis patients,and then provide a theoretical basis for traditional Chinese medicine treatment of maintenance hemodialysis patients.[Methods] Collect the data(including general conditions,medical history data,pulse,tongue quality,tongue coating,clinical symptoms,etc.)of MHD patients who met the inclusion criteria in the Hubei Traditional Chinese Medicine Hospital.And detect fasting laboratory indicators.Assisted by the 3 deputy chief physicians of the Blood Purification Centerin,we collected the differentiation of TCM syndromes,and counted the MIS(Malnutrition-Inflammation Score)scores of patients with bleeding hemorrhage.According to the MIS scores,they were divided into the Normal nutrition group and the Poor nutrition group.Observe the distribution of TCM syndromes in maintenance hemodialysis patients;understand the occurrence of malnutrition in patients with MHD.To explore the relationship between malnutrition and TCM syndrome distribution,and analyze the risk factors of chronic malnutrition.[result]1.175 patients with maintenance hemodialysis were 95 males(54%)and 80 females(46%).The average age was(60.93 ± 15.23)years and the average dialysis age was(51.77 ± 36.59)months.55 patients had malnutrition and the incidence was about 31%.2.175 patients with maintenance hemodialysis: 41 cases(23.4%)of spleen and kidney qi deficiency,31 cases of liver and kidney yin deficiency(17.7%),17 cases of spleen and kidney yang deficiency(9.7%),50 cases of qi and yin deficiency(28.6%),36 cases of yin and yang deficiency(20.6%);43 cases(25%)of dampness and turbidity syndrome,47 cases of dampness and heat(27%),16 cases of water and gas(9%),and blood stasis syndrome 69 cases(39%).3.There were 55 patients in the poor nutrition group,including27 males and 28 females.The average age was(62.00 ± 14.83)years,and the average dialysis age was(62.4 ± 39.9)months.In this deficiency syndrome,7 cases of spleen and kidney qi deficiency(12.73%),9 cases of liver and kidney yin deficiency(16.36%),8 cases of spleen and kidney yang deficiency(14.55%),11 cases of qi and yin deficiency(20%),and yin and yang deficiency.There were 20 cases of syndromes(36.36%),and the deficiency syndromes in the poor nutrition group were mainly yin and yang deficiency.The distribution of TCM syndromes in the two groups was statistically different.Twelve cases of dampness and turbidity syndrome(21.4%),13 cases of dampness and heat syndrome(23.2%),6 cases of water and gas syndrome(10.7%),and 24 cases of blood stasis syndrome(42.9%)in the standard evidence distribution.Blood deficiency is the main deficiency,and there is a statistical difference in the distribution of evidence between the two groups.4.Univariate analysis showed that dialysis age,cardiovascular and cerebrovascular complications,body mass index,serum albumin,prealbumin,C-reactive protein,and types of hemodialysis channels may be related to poor nutrition status of hemodialysis patients.The difference was statistically significant.5.Binary logistic regression analysis showed that dialysis age,C-reactive protein,and cardiovascular and cerebrovascular complications were intermediate independent risk factors for poor nutrition.The body mass index,prealbumin,and serum albumin are the medium protective factors of nutritional status.The type of hemodialysis channels has little to do with nutritional status.[conclusion]1.The deficiency syndrome of maintenance hemodialysis patients is the most common deficiency syndrome of qi and yin,and the deficiency syndrome is most common.The incidence of malnutrition in 2.175 patients withhemodialysis was 31%.3.In the poor nutrition group,the distribution of the deficiency syndromes is the most common with yin and yang deficiency syndromes,and the evidence of the deficiency syndrome is the most common.4.The longer the dialysis month,the higher the level of C-reactive protein,and the occurrence of cardiovascular and cerebrovascular complications are the intermediate risk factors for malnutrition in maintenance hemodialysis patients,while the high body mass index,high serum albumin level,and high prealbumin level are Protective factors for nutritional status in dialysis patients.The type of hemodialysis channels has little to do with nutritional status. |
PDF Full Text Request