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NTIS 바로가기대한영양사협회 학술지 = Journal of the Korean dietetic association, v.23 no.1, 2017년, pp.1 - 13
오예성 (아주대학교병원 영양팀) , 안재영 (아주대학교병원 영양팀) , 김미향 (아주대학교병원 영양팀) , 최선정 (아주대학교병원 영양팀) , 정종철 (아주대학교 의과대학 신장내과학교실)
It is well known that malnutrition is a predictor of mortality in hemodialysis patients. The number of diabetic nephropathy patients is increasing rapidly. This study aimed to investigate nutritional status and nutrient intake according to the presence of diabetes among hemodialysis patients. The nu...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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생화학적 검사 지표로 이용한 혈액검사 자료에는 어떤 기록이 있는 가? | 생화학적 검사 지표로는 매월 정기적으로 측정하는 혈액검사 자료를 이용하였다. 혈중 포도당(Glucose),헤모글로빈(Hemoglobin, Hb), 철결합능(Total iron binding capacity, TIBC), 알부민(Albumin), 칼슘(Calcium),비타민 D(25-hydroxyvitamin D, 25-OH-V.D), 염소(Chloride, Cl), 부갑상선호르몬(Parathyroid hormone, PTH),나트륨(Sodium, Na), 인(Phosphorus, P), 칼륨(Potassium,K), 총 콜레스테롤(Total Cholesterol) 중성지방(Triglyceride, TG), HDL-콜레스테롤(High density lipoprotein cholesterol, HDL-Cholesterol), LDL-콜레스테롤(Low density lipoprotein cholesterol, LDL-Cholesterol), 혈중 요소질소의 분획 청소율로 투석의 적절도 지표인 Kt/V,표준 단백질 이화율(Normalized protein catabolic rate, nPCR) 등은 의무기록을 통해 수집하였다. | |
혈액투석 환자에서 낮은 농도의 혈청 알부민 수치는 어떤 역할을 하는 가? | 혈액투석 환자에서 낮은 농도의 혈청 알부민 수치는 영양상태 저하뿐만 아니라 염증반응의 증가로 심혈관계 질환으로의 이환율과 사망률을 높이는 독립인자로 작용한다(Lowrie & Choi & Lee2003). 영양불량 환자에게서는 저알부민혈증이 흔히 나타나게 되지만 혈액투석 환자의 경우 정기적인혈액투석 중 회당 6∼9 g 정도의 상당한 아미노산이 손실되기 때문에 혈청 단백질 수치를 단독지표로 영양상태를 평가하기에는 부적합하다는 보고도 있다(Heimbürger 등 1994; Hynote 등 1995). | |
만성콩팥병의 원인 질환에는 어떤 것이 있는 가? | 만성콩팥병의 원인 질환으로는 1990년대 이후 당뇨병성 신증이 빠르게 증가하여 48%로 가장 높은 비율을 차지하고 있으며, 고혈압이 21.2%, 만성사구체신염이 8.2%로 뒤를 잇고 있다. 혈액투석 환자의10년 생존율은 당뇨병성 신증이 원인 질환인 환자에서 34. |
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