维持性血液透析在肾衰竭合并糖尿病患者中的应用效果及对营养状态和体液分布的影响研究

Study on the Effect of Maintenance Hemodialysis in Renal Failure Patients with Diabetes and Its Influence on Nutritional Status and Body Fluid Distribution

摘要: 目的：调查研究肾衰竭合并糖尿病患者应用维持性血液透析的效果及对营养状态、体液分布的影响。方法：于本院档案室调取2022.08~2023.08区段内收治建档的肾衰竭合并糖尿病患者病历资料，总计抽选60例作为观察对象，为其给予维持性血液透析治疗 + 饮食指导，后依据调研目的、相关文献，设定肾功能指标、微炎症因子指标、营养状态、体液分布为观察指标，以此评估所有患者应用维持性血液透析的实际效果。结果：所有患者治疗后各肾功能指标、微炎症因子指标、营养状态评估指标及体液分布指标均显著优于治疗前(P < 0.05)。结论：肾衰竭合并糖尿病患者应用维持性血液透析配合饮食指导，能够有效改善其肾功能、营养状态，控制微炎症因子与体液分布指标水平，应用效果确切。

Abstract: Objective: To investigate the effect of maintenance hemodialysis on nutritional status and body flu-id distribution in patients with renal failure and diabetes. Methods: The medical records of renal failure patients with diabetes who were treated and filed from 2022.08 to 2023.08 were collected from the archives of our hospital. A total of 60 cases were selected as the observation objects, and maintenance hemodialysis treatment + dietary guidance were given to them. Then, according to the research purpose and relevant literature, renal function indicators, micro inflammatory factor in-dicators, nutritional status, and body fluid distribution were set as the observation indicators, to evaluate the actual effectiveness of maintenance hemodialysis in all patients. Result: All patients had significantly better renal function indicators, micro inflammatory factor indicators, nutritional status evaluation indicators, and fluid distribution indicators after treatment compared to before treatment (P < 0.05). Conclusion: The application of maintenance hemodialysis combined with diet guidance in patients with renal failure and diabetes can effectively improve their renal function and nutritional status, control the levels of micro inflammatory factors and body fluid distribution indi-cators, and the application effect is accurate.