Nutritional status analysis of diabetic nephropathy patients with hemodialysis

Objective To observe the nutritional status of hemodialysis patients with diabetic nephropathy and its affecting factors.Methods Fifteen end-stage diabetic nephropathy patients with continous hemodialysis were selected.Both type and amount of diet of the patients in 7 days were recorded in detail,the thoroughness of hemodialisis and indexes related to somatology and laboratory were detected.Results Both protein intake and thermal energy intake of these patients were remarkably lower than recommended intake.And nutritional indexes(Hb,Alb,PA) of patients with enough intake were obviously higher than those of patients who had not enough intake(P0.05).Nutritional indexes(Alb,PA,TF)of thoroughly dialyzed patients were significantly higher than those of not thoroughly dialyzed patients(P0.05).Conclusion There was a high morbidity of malnutrition in diabetic nephropathy patients with hemodialysis,which was related to low nutrition intake,deterioration of digestive and absorptive functions of gastrointestinal system,high analytical metabolism,and not thorough dialysis.