低蛋白饮食在非透析慢性肾脏病中的应用研究  

Progress in the Use of Low Protein Diets without Dialysis in the Treatment of Chronic Kidney Disease

作　　者：王彦 孙建琴 WANG Yan;SUN Jianqin

机构地区：[1]复旦大学附属华东医院临床营养中心,上海市200040

出　　处：《中国全科医学》2018年第33期4144-4148,共5页Chinese General Practice

摘　　要：低蛋白饮食(LPD)被认为是慢性肾脏病(CKD)综合治疗中的重要环节。目前,对于LPD是否有益于保护CKD患者的残肾功能,各研究结论不一;同时临床对于LPD对患者营养状况的影响也存在顾虑。本文综述了近年来有关蛋白质摄入对肾脏功能的影响,以及LPD对CKD患者作用的研究,并梳理了LPD实施中的要点,有助于提高CKD患者饮食管理的质量、减缓病情进展、延后或避免透析治疗,为营养师和临床医生对CKD患者制定和实施有效的饮食治疗计划提供参考。Low protein diet(LPD)is an important element in the comprehensive treatment of chronic kidney disease(CKD).At present,whether the LPD is beneficial in protecting residual kidney function in patients with CKD is debated.In addition,concerns have been raised regarding the effect of LPD on patient nutritional status.This article reviews recent studies on the effects of protein intake on kidney function and the role of LPD in CKD treatment,and summarizes key points in implementing LPD,to improve the quality of dietary management,slow the progression of the disease,and delay dialysis treatment onset in patients with CKD.Our study also provides a reference for dietitians and clinicians to formulate and implement effective diet treatment plans for patients with CKD.

关 键 词：膳食 限制蛋白质 肾脏病学 营养疗法 

分 类 号：R15[医药卫生—营养与食品卫生学]