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急性肾衰竭的营养

Nutrition in acute renal failure.

作者信息

Guimarães Sérgio Mussi, Cipullo José Paulo, Lobo Suzana Margareth Ajeje, Burdmann Emmanuel de Almeida

机构信息

Nephrology Division, Department of Medicine, Hospital de Base, Faculdade de Medicina de São José do Rio Preto (Famerp), São José do Rio Preto, São Paulo, Brazil.

出版信息

Sao Paulo Med J. 2005 May 2;123(3):143-7. doi: 10.1590/s1516-31802005000300011. Epub 2005 Jul 8.

DOI:10.1590/s1516-31802005000300011
PMID:16021279
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11060388/
Abstract

Nutritional status has been considered to be one of the possible determinants of mortality rates in cases of acute renal failure (ARF). However, most studies evaluating possible mortality indicators in ARF cases have not focused on the nutritional status, possibly because of the difficulties involved in assessing the nutritional status of critically ill patients. Although the traditional methods for assessing nutritional status are used for ARF patients, they are not the best choice in this population. The use of nutritional support for these patients has produced conflicting results regarding morbidity and mortality. This review covers the mechanisms and indicators of malnutrition in ARF cases and the types of nutritional support that may be used.

摘要

营养状况被认为是急性肾衰竭（ARF）病例死亡率的可能决定因素之一。然而，大多数评估ARF病例可能的死亡指标的研究并未关注营养状况，这可能是因为评估重症患者的营养状况存在困难。尽管评估营养状况的传统方法用于ARF患者，但它们并非该人群的最佳选择。对这些患者使用营养支持在发病率和死亡率方面产生了相互矛盾的结果。本综述涵盖了ARF病例中营养不良的机制和指标以及可能使用的营养支持类型。