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首页> 外文期刊>Journal of renal nutrition: the official journal of the Council on Renal Nutrition of the National Kidney Foundation >Dialysis and nutrition practices in Korean hemodialysis centers.
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Dialysis and nutrition practices in Korean hemodialysis centers.

机译：韩国血液透析中心的透析和营养实践。

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OBJECTIVE: Survey the dialysis practices and nutritional status-related patient characteristics. DESIGN: Cross-sectional survey. SETTING: Twenty-eight randomly selected Korean hemodialysis facilities. METHODS: Medical record review of 140 randomly selected patients in 28 Korean dialysis facilities. The Student t test and chi-square tests were used to compare facility types and locations. RESULTS: The mean number of dialysis treatments per week was 2.7 +/- 0.4. Mean dialysis treatment length was 253 +/- 27.5 minutes. Rural dialysis centers reported fewer treatments per week and shorter dialysis treatment times than did urban centers but, otherwise, there were few differences by either location (urban v rural) or by facility type (hospital affiliated v freestanding facility). The mean age of the patients surveyed by record review was 51 +/- 14 years, and 59% of the patients were men. The primary causes of end-stage renal disease were chronic glomerulonephritis, hypertension, and diabetes. Average vintage of dialysis was 53 +/- 46 months. Adequacy of dialysis was usually assessed by using clinical judgment; urea kinetic modeling and urea reduction ratios were used less frequently. Patients' mean body mass index was 20.7 +/- 2.3, which was at the lower end of the healthy range of 18.5 to 25, and most (93%) of their weights had been stable over the previous 6 months. Their mean serum albumin level was 4.0 +/- 0.4 g/dL. Forty-two percent of patients used iron supplements and 68% of them received erythropoietin treatment. However, their mean hematocrit levels were only 25.9% +/- 4.2%, suggesting that iron supplements were underused or erythropoietin doses were lower than optimal. Virtually all patients (94%) had received initial diet instruction but few (6%) received follow-up nutrition counseling. CONCLUSION: Greater attention to dialysis adequacy, hematocrit levels, nutrition assessment, weight monitoring, and diet therapy are recommended.
机译：目的：调查透析措施和营养状况相关患者特征。设计：横断面调查。设置：二十八个随机选择韩国血液透析设施。方法：28例韩国透析设施中140名随机选择患者的医学记录综述。学生T测试和Chi-Square测试用于比较设施类型和位置。结果：每周透析处理的平均数量为2.7 +/- 0.4。平均透析处理长度为253 +/- 27.5分钟。农村透析中心报告每周治疗较少，透析治疗时间较短，而不是城市中心，否则，任何位置（都市V农村）或设施类型（医院附属诉Freestand设施）差别很少。记录审查调查的患者的平均年龄为51 +/- 14岁，59％的患者是男性。末期肾病的主要原因是慢性肾小球肾炎，高血压和糖尿病。透析葡萄酒葡萄酒53 +/- 46个月。通常通过使用临床判断来评估透析的充分性;尿素动力学建模和尿素减少比率较少使用。患者的平均体重指数是20.7 +/- 2.3，在18.5至25°的健康范围的下端，其重量的大多数（93％）在过去6个月内稳定。它们的平均血清白蛋白水平为4.0 +/- 0.4g / dl。 42％的患者使用铁补充剂和68％的68％接受了促红细胞生成素治疗。然而，它们的平均血细胞比容水平仅为25.9％+/- 4.2％，表明未充分利用铁补充剂或促红细胞生成素剂量低于最佳。几乎所有患者（94％）已收到初始饮食指令，但少数（6％）接受了后续营养咨询。结论：建议更加注重透析充足，血细胞比容水平，营养评估，重量监测和饮食治疗。

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