Effects of nutritional control on late-stage dysfunction of arteriovenous fistulas in elderly patients with end-stage renal disease undergoing maintenance hemodialysis
Objective To explore the effects of nutritional control on late-stage dysfunction of arteriovenous fistulas in elderly patients with end-stage renal disease undergoing maintenance hemodialysis.Methods From June 2021 to October 2023,72 elderly patients with end-stage renal disease diagnosed and treated in Jinling Hospital Affiliated to Medical College of Nanjing University were selected for observation.According to different nutritional control methods,they were divided into control group and observation group,with 36 cases in each group.The control group received routine nutrition control,and the observation group received personalized nutrition control based on the control group.Combined with a number of clinical indi-cators and nutritional evaluation,the correlation between nutrition control and late-stage dysfunction of arteriovenous fistulas was analyzed.Results There were statistically significant differences in ALB and BMI between the two groups under nutri-tional control(P＜0.05).There was no significant difference in PA between the two groups before and after nutritional control(P＞0.05).The values of Kt/V and URR indexes of the observation group were higher than those of the control group,and the differences were statistically significant(P＜0.05).The incidence of late-stage dysfunction of arteriovenous fistulas was relatively low in patients with well-controlled hypertension and diabetes(P＜0.05).The nutritional control could reduce the occurrence of abnormal nutritional status in the observation group and lower the incidence of malnutrition.Patients with poor nutritional status had a higher risk of late-stage dysfunction of arteriovenous fistulas.Conclusion For elderly patients with end-stage renal disease undergoing maintenance hemodialysis,attention should be paid to the management of related factors such as nutritional control,underlying disease control,and dialysis adequacy to reduce the risk of late-stage dysfunction of arteriove-nous fistulas.
elderlyend-stage renal diseasenutritional controlhemodialysislate-stage dysfunction of arteriovenous fistulas
国家科技期刊平台
NSTL
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