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血液透析患者血清钾的季节性变化:是真是假?文献综述。

Seasonal variation of serum potassium in hemodialysis patients: myth or reality? A narrative review of literature.

机构信息

Department of Family Medicine, The University of Hong Kong-Shenzhen Hospital, Shenzhen, PR China.

出版信息

Ren Fail. 2024 Dec;46(2):2359640. doi: 10.1080/0886022X.2024.2359640. Epub 2024 Jun 4.

Abstract

Research has shown that patients undergoing hemodialysis experience seasonal variations in their serum potassium levels. There was inconsistent seasonal fluctuation in serum potassium levels among the hemodialysis population across different locations. In the form of narrative review for the first time, the article discusses the seasonal changes of serum potassium in this population and its potential reasons, this article demonstrates that it is primarily attributable to seasonal dietary potassium intake. However, existing studies have not quantified seasonal dietary potassium intake, so the results are still speculative. Furthermore, future research ought to further expound upon the clinical implications of seasonal variations in serum potassium levels among dialysis patients, as well as other influencing mechanisms such as the pathophysiological causes of these seasonal changes, particularly those pertaining to dietary, geographical, and regional factors. These findings contribute to a more thorough interpretation of laboratory results in hemodialysis patients and provide important guidance for their individualized dietary management.

摘要

研究表明,接受血液透析的患者其血清钾水平存在季节性变化。不同地区的血液透析人群的血清钾水平存在不一致的季节性波动。本文首次以叙述性综述的形式讨论了该人群血清钾的季节性变化及其潜在原因,表明主要归因于季节性膳食钾摄入。然而,现有研究尚未量化季节性膳食钾摄入,因此结果仍具有推测性。此外,未来的研究应该进一步阐述透析患者血清钾水平季节性变化的临床意义,以及其他影响机制,如这些季节性变化的病理生理原因,特别是与饮食、地理和地区因素有关的原因。这些发现有助于更全面地解释血液透析患者的实验室结果,并为其个体化饮食管理提供重要指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1dd/11151801/249694ead421/IRNF_A_2359640_F0001_B.jpg

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