摘要
目的观察全视阈优化饮食护理在血液透析继发甲状旁腺亢进患者中应用效果。方法80例血液透析继发甲状旁腺亢进者中2019年1~6月收治的40例为对照组,给予碳酸钙片、阿法骨化醇软胶囊等治疗,并摄取高热量高优质蛋白食物;7~12月收治的40例为试验组,在对照组基础上加用全视阈优化饮食护理干预。比较两组生化指标及生活质量。结果干预3个月后,试验组血清钙水平及生活质量评分高于对照组(P<0.05),而磷、钙磷乘积及全段甲状旁腺激素水平低于对照组(P<0.05)。结论全视阈优化饮食护理可改善血液透析继发甲状旁腺亢进者生化指标及生活质量。
Objective To observe the clinical efficacy of total visual threshold optimization of dietary care(TVTODC)in hemodialysis patients with secondary hyperparathyroidism(SHPT).Methods Eighty hemodialysis patients with SHPT were divided into control(n=40,January to June 2019)and experiment(n=40,July to December 2019)groups based on admission date.Control group were treated with calcium carbonate tablets,alfacalcidol soft capsules,and high-calorie and high-quality protein foods,while experiment group received additional TVTODC.The biochemical parameters and quality of life(QOL)were compared between two groups.Results Compared with control group,serum calcium level and QOL were higher after 3-month intervention(P<0.05),whereas serum phosphorus,calcium-phosphorus product and intact parathyroid hormone levels were lower(P<0.05)in experiment group.Conclusion TVTODC can improve the biochemical parameters and QOL in hemodialysis patients with SHPT.
作者
张小琴
刘月连
段晓芬
陈晓
麦琼予
ZHANG Xiao-qin;LIU Yue-lian;DUAN Xiao-fen;CHEN Xiao;MAI Qiong-yu(Maoming People's Hospital,Maoming 525000,China)
出处
《广东医科大学学报》
2021年第2期246-248,共3页
Journal of Guangdong Medical University
关键词
全视阈护理
血液透析
继发甲状旁腺亢进
total visual threshold care
hemodialysis
secondary hyperparathyroidism
