【摘要】 目的 探讨连续性肾脏替代治疗(Continuous renal replacement therapy，CRRT)救治老年多器官功能障碍综合征(Multiple organ dysfunction sydrome，MODS)伴肾功能衰竭(renal failure，RF)合适的营养支持方案。方法 回顾性分析30例老年MODS伴RF患者接受CRRT的临床资料，按CRRT期间蛋白质的摄入量将其分为高蛋白组[蛋白质2～2.5g/(kg·d)]和对照组[1～1.2g/(kg·d)]，比较各自的临床结果。结果 两组病人治疗前均存在低蛋白血症、贫血等蛋白质营养不良表现。而CRRT及营养支持治疗后，高蛋白组的病人的血清白蛋白和血红蛋白分别为40.3±3.8g/L和102.3±9.9g/L，均高于对照组32.2±

    3.1g/L和89.7±8.0g/L，P<0.05，该组病人生存时间151.6±106.5天，与对照组86.7±68.9天相比P<0.01，差异有显著性，其对氮质血症的控制相对满意。结论 在CRRT老年MODS伴RF时，应重视加强营养支持，尤其要提高蛋白质的摄入量，以达到正氮平衡，延长生命。

    关键词 连续性肾脏替代治疗 老年人 多器官功能障碍综合征 营养支持

    Nutrition support of the multiple organ dysfunctions syndrome

    in the elderly during continuous renal relacement therapy Situ Biying，

    Sun Jianshe，Sun Ming，et al.

    Department of Nephrology，Huadong Hospital，Shanghai200040.

    【Abstract】 Objective To investigate the optimum nutrition support duringcontinuous renal replacement therˉapy(CRRT)medical aid in multiple organ dysfunction syndrome(MODS)associated with renal failure(RF)in the elˉderly.Methods Clinical data of30elderly patients with MODS and RF received CRRT were respectively reviewed.These patients were divided into two groups according to theirprotein intake during CRRT:high protein group(2～2.5g/kg/day)and control group(1～1.2g/kg/day).The clinical results were compared.Results Protein malnutrition such as anemia ......