慢性肾脏病患者蛋白质-能量营养不良研究进展  

Advances in protein energy malnutrition in patients with chronic kidney disease

作　　者：严艳[1] 汪年松[1] 

机构地区：[1]上海交通大学附属第六人民医院肾内科,200233

出　　处：《中华临床营养杂志》2013年第1期30-34,共5页Chinese Journal of Clinical Nutrition

摘　　要：尽管临床治疗水平和透析技术不断提高，但慢性肾脏病（CKD）患者营养不良的发生率仍然逐年上升。近年来，透析前和透析阶段的CKD患者营养目标领域取得一些进展。在透析前阶段，充足的证据显示限制蛋白摄入的长期营养治疗方案可有效纠正蛋白尿、酸中毒等多种代谢异常。维持性透析阶段，现有的蛋白质能量摄入的目标逐渐受到质疑。新颁布的CKD患者蛋白质-能量消耗的诊断标准将有助于医生更轻易地识别早期的蛋白质能量消耗。The incidence of malnutrition among patients with chronic kidney disease （CKD） constantly in- creases despite the development of health care and dialysis techniques. New nutritional targets for CKD patients upon maintenance treatment have been developed. Before dialysis, evidences have shown that a long-term nutritional care plan, with a control of protein intake, can effectively correct metabolic disorders including proteinuria and acidosis. During the maintenance dialysis, the optimal protein and energy intakes have been recently challenged. The new classification of nutritional disorders in CKD patients may help the easily identification of protein-energy wasting.

关 键 词：慢性肾脏病 蛋白质-能量营养不良 透析 

分 类 号：R692[医药卫生—泌尿科学]