Chỉ số hóa sinh, tình trạng dinh dưỡng và thiếu máu ở người bệnh thận mạn lọc máu chu kỳ=Biochemical index, nutritional status and anemia in chronic kidney disease patients on hemodialysis

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Tác giả: Thị Diễm Hoàng, Xuân Sơn Hoàng, Thị Kiều Oanh Nguyễn, Thị Thu Hiền Nguyễn, Thu Huyền Nguyễn, Hà Mỹ Khánh Nông, Văn Diệp Nông, Đức Hiển Phùng, Thị Biển Triệu

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.165-171

Bộ sưu tập: Metadata

ID: 243772

Thêm vào giỏ

Đánh giá chỉ số hoá sinh, tình trạng dinh dưỡng và thiếu máu ở người bệnh thận mạn lọc máu chu kỳ. Đối tượng: Nghiên cứu được thực hiện trên 82 người bệnh thận mạn lọc máu chu kỳ điều trị tại Bệnh viện đa khoa tỉnh Bắc Kạn năm 2024. Phương pháp nghiên cứu: Lựa chọn bệnh nhân đủ tiêu chuẩn, tính toán chỉ số BMI, các xét nghiệm hoá sinh trên máy AU680 Beckman Coulter và xét nghiệm huyết học trên máy DXH 600 Beckman Coulter. Kết quả: Nồng độ ure và creatinin huyết tương lần lượt là 19,3±6,5 mmol/L và 771±248 mol/L, tăng cao so với giá trị tham chiếu trong khi các chỉ số hoá sinh khác gồm glucose, bilirubin TP, bilirubin TT, protein TP, GOT, GPT, natri, kali, clo không có sự thay đổi rõ rệt
tỷ lệ bệnh nhân suy dinh dưỡng theo BMI, albumin huyết tương lần lượt là 28%, 46%
tỷ lệ bệnh nhân thiếu máu với đặc điểm hồng cầu nhỏ, nhược sắc là 95,1%
có mối liên quan giữa tình trạng dinh dưỡng theo BMI và tình trạng thiếu máu (p<
0,05). Kết luận: Ở người bệnh thận mạn lọc máu chu kỳ tại Bệnh viện đa khoa tỉnh Bắc Kạn, nồng độ ure, creatinin tăng
tỷ lệ bệnh nhân suy dinh dưỡng và thiếu máu cao. Vì vậy, cần quan tâm đến vấn đề tư vấn dinh dưỡng và chế độ ăn cho bệnh nhân.Evaluation of biochemical indexes, nutritional status and anemia in chronic kidney disease patients on hemodialysis. Subjects: The study was conducted in 82 chronic kidney disease patients undergoing periodic dialysis at Bac Kan Provincial General Hospital in 2024. Methods: Select eligible patients, calculate BMI, perform biochemical tests using Beckman Coulter AU680 and hematology tests using Beckman Coulter DXH 600. Results: Plasma urea and creatinine concentrations were 19,3±6,5 mmol/L and 771±248 mol/L, respectively, significantly higher than the reference value, while other biochemical indices including glucose, total bilirubin, direct bilirubin, protein, GOT, GPT, sodium, potassium, and chloride did not change significantly
the rate of malnourished patients according to BMI and plasma albumin was 28% and 46%, respectively
the rate of anemic patients with microcytic and hypochromic red blood cells was 95,1%
there was a correlation between nutritional status according to BMI and anemia (p<
0,05). Conclusions: In patients with chronic kidney disease undergoing periodic hemodialysis at Bac Kan Provincial General Hospital, urea and creatinine concentrations increased
the rate of malnourished and anemic patients were high. Therefore, attention should be paid to nutritional counseling and diet for patients.

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