生酮饮食的利与弊  

Advantages and disadvantages of ketogenic diet

作　　者：岳月仪 韩晓菁 鲁燕[1] YUE Yueyi;HAN Xiaojing;LU Yan(Department of Endocrinology,the First Hospital Affiliated to Soochow University,Suzhou,Jiangsu,215006)

机构地区：[1]苏州大学附属第一医院内分泌科,江苏苏州215006

出　　处：《实用临床医药杂志》2023年第4期123-126,132,共5页Journal of Clinical Medicine in Practice

基　　金：江苏省苏州市科技计划项目(SYS2019051)。

摘　　要：生酮饮食(KD)是低碳水化合物、高脂肪的饮食模式,是长期以来用于治疗癫痫的有效手段。随着研究的不断开展,KD在其他疾病领域也有一定的尝试,例如肥胖、2型糖尿病、代谢相关脂肪性肝病、阿尔茨海默综合征及肿瘤等。然而,KD因其独特的饮食结构,会造成营养素摄入失衡,在应用期间存在一些相关的不良反应,因此也存在较大的临床争议。本研究就KD对多种疾病的利与弊进行综述。Ketogenic diet(KD)is a dietary model characterized by low carbohydrate and high fat,which has been used as an effective measure to treat epilepsy in a long history.With the continu⁃ous development of researches,KD has also been tentatively used in other fields of diseases,such as obesity,type 2 diabetes,metabolic⁃associated fatty liver disease,Alzheimer's syndrome and tumors.However,KD will lead to great clinical disputes because of imbalance in nutrient intake due to its u⁃nique dietary structure and some related adverse reactions during application.This study reviewed the advantages and disadvantages of KD for various diseases.

关 键 词：生酮饮食 2型糖尿病 代谢相关脂肪性肝病 神经系统疾病 

分 类 号：R459.3[医药卫生—治疗学] R588.6[医药卫生—临床医学]