Construction and clinical effect evaluation of personalized nutritional support programs for maintenance hemodialysis patients
维持性血液透析患者个性化营养支持方案的构建与临床效果评价

摘要

目的 总结分析维持性血液透析患者个性化营养支持方案的构建与临床效果。方法 以2024年3月-2025年3月接收的进行维持性血液透析的患者作为研究对象，共120例，随机分成对照组与实验组，各60例。给予对照组常规营养指导，实验组构建个性化营养支持方案，比较两组的临床效果。结果 实验组患者在血清白蛋白、前白蛋白及血红蛋白指标上均显著优于对照组；该组患者出现营养不良的比例明显降低，生活质量评估得分更高。经统计学分析，两组间的各项指标差异均具有显著性（P＜0.05）。结论 针对维持性血液透析患者实施个性化营养干预措施，能够有效促进营养状态的改善，减少营养不良的发生风险，提高整体的生存质量。

Abstract

Objective To summarize and analyze the construction and clinical effects of individualized nutritional support programs for patients undergoing maintenance hemodialysis.
Methods A total of 120 patients receiving maintenance hemodialysis from March 2024 to March 2025 were randomly divided into a control group and an experimental group, with 60 cases in each group. The control group received routine nutritional guidance, while the experimental group was provided with an individualized nutritional support program. The clinical effects of the two groups were compared.
Results The experimental group showed significantly better indicators in serum albumin, prealbumin, and hemoglobin compared to the control group. The proportion of patients with malnutrition in this group was significantly lower, and their quality of life assessment scores were higher. Statistical analysis revealed significant differences in all indicators between the two groups (P < 0.05).
Conclusion   Implementing individualized nutritional intervention measures for patients undergoing maintenance hemodialysis can effectively improve their nutritional status, reduce the risk of malnutrition, and enhance overall quality of life.