慢性肾脏病低蛋白饮食治疗的研究进展  

Progress on low protein diet for patients with chronic kidney disease

作　　者：田荣荣[1] 张红梅[1] 常立阳[1] 程灵红 Tian Rongrong;Zhang Hongmei;Chang Liyang;Cheng Linghong(Department of Nephrology,Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou 310007,China)

机构地区：[1]杭州市中医院肾内科,杭州310007

出　　处：《中华全科医师杂志》2022年第8期784-788,共5页Chinese Journal of General Practitioners

基　　金：浙江省医药卫生科技计划项目(2019KY137)。

摘　　要：饮食营养治疗是慢性肾脏病(CKD)防治的重要组成部分,贯穿于CKD三级预防。通过合理的营养治疗,可延缓肾病进展、纠正代谢紊乱、改善患者预后。低蛋白饮食是CKD营养治疗的核心,但在蛋白质的数量、质量和来源方面,一直是研究的焦点。近期国内外指南均有关于蛋白质摄入"量"的更新。除了"量"以外,最近研究在蛋白质的摄入类型和多样性方面,也给予了更多的关注,且随着植物性食品消费和素食饮食概念的兴起,科学界又重新开始审视植物蛋白的益处,并有大力推崇植物性膳食的趋势。这种植物性膳食模式是否同样适用于需要低蛋白饮食的CKD患者,疗效如何,能否满足CKD患者的营养需求,是近期研究争论的热点。本文就这些研究热点展开综述。Nutrition therapy is considered as the basis for prevention and management of chronic kidney disease(CKD),throughout the three-tier prevention strategies of CKD.The primary objective is to delay the disease progression,correct metabolic disorders,and improve the outcomes of CKD.Low protein diet has been recognized as an important therapeutic measure in CKD,but the quantity,quality and source of protein are always the points of contention.Recently,both domestic and foreign guidelines have been updated on the amount of protein intake.In addition to quantity,attention has been paid to the type and diversity of proteins.With the rise of plant-based food consumption and the concept of vegetarian diet,the scientific community began to review the benefits of plant protein again,and a plant-based diet is recommend extensively.Whether the plant-based dietary pattern is also suitable for CKD patients who need a low-protein diet,and whether it could meet the nutritional needs of CKD patients are hot topics,this article reviews the recent progress of these research hotspots.

关 键 词：肾病 膳食疗法 膳食 限制蛋白质 

分 类 号：R459.3[医药卫生—治疗学] R692[医药卫生—临床医学]