Negi Shigeo, Yamanaka Shintaro, Koreeda Daisuke, Yashiro Mitsuru, Shigematsu Takashi
Division of Nephrology, Department of Internal Medicine, Wakayama Medical University, Japan.
Clin Calcium. 2012 Oct;22(10):1557-66.
Hyperphosphatemia is the most common complication among patients with chronic kidney disease. Large scale observational studies have identified hyperphosphatemia as an independent risk factor for cardiovascular disease and mortality in hemodialysis patients. The combination therapy of dietary phosphate restriction and phosphate removal with dialysis treatment is still not enough to achieve the serum phosphate within the target. Thererfore, phosphate binders is necessary for many dialyzed patients with hyperphosphatemia. In this article, we will review the detail and development of phosphate binders and recommendation for clinical practice in hyperphosphatemia.
高磷血症是慢性肾脏病患者中最常见的并发症。大规模观察性研究已将高磷血症确定为血液透析患者心血管疾病和死亡的独立危险因素。饮食中限制磷摄入并结合透析治疗以清除磷的联合治疗仍不足以使血清磷达到目标水平。因此,许多透析的高磷血症患者需要使用磷结合剂。在本文中,我们将综述磷结合剂的细节、发展情况以及高磷血症临床实践的建议。