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本文引用的文献

1
The correlation between protein energy wasting and the incidence of main adverse cardiovascular events in adult maintenance hemodialysis patients: a single-center retrospective cohort study.成人维持性血液透析患者蛋白质能量消耗与主要不良心血管事件发生率的相关性:一项单中心回顾性队列研究。
Ren Fail. 2025 Dec;47(1):2441399. doi: 10.1080/0886022X.2024.2441399. Epub 2024 Dec 18.
2
The Interplay between Dietary Phosphorous, Protein Intake, and Mortality in a Prospective Hemodialysis Cohort.膳食磷、蛋白质摄入与前瞻性血液透析队列患者死亡率的相互关系。
Nutrients. 2022 Jul 26;14(15):3070. doi: 10.3390/nu14153070.
3
Chronic Kidney Disease and Nutrition Support.慢性肾脏病与营养支持。
Nutr Clin Pract. 2021 Apr;36(2):312-330. doi: 10.1002/ncp.10658. Epub 2021 Mar 18.
4
KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update.KDIGO 临床实践指南:慢性肾脏病中的营养治疗 2020 年更新版。
Am J Kidney Dis. 2020 Sep;76(3 Suppl 1):S1-S107. doi: 10.1053/j.ajkd.2020.05.006.
5
Eating during the Hemodialysis Session: A Practice Improving Nutritional Status or a Risk Factor for Intradialytic Hypotension and Reduced Dialysis Adequacy?血液透析过程中的进食:改善营养状况的实践还是导致透析中低血压和透析充分性降低的风险因素?
Nutrients. 2020 Jun 6;12(6):1703. doi: 10.3390/nu12061703.
6
Oral protein-based supplements versus placebo or no treatment for people with chronic kidney disease requiring dialysis.口服蛋白质补充剂与安慰剂或不治疗对需要透析的慢性肾病患者的疗效比较
Cochrane Database Syst Rev. 2020 May 11;5(5):CD012616. doi: 10.1002/14651858.CD012616.pub2.
7
Effects of Protein-Energy Wasting (PEW) and hyperphosphatemia on the prognosis in Japanese maintenance hemodialysis patients: A five-year follow-up observational study.蛋白质-能量消耗(PEW)和高磷血症对日本维持性血液透析患者预后的影响:一项为期五年的随访观察研究。
Clin Nutr ESPEN. 2020 Apr;36:134-138. doi: 10.1016/j.clnesp.2020.01.004. Epub 2020 Feb 4.
8
Global Prevalence of Protein-Energy Wasting in Kidney Disease: A Meta-analysis of Contemporary Observational Studies From the International Society of Renal Nutrition and Metabolism.全球肾脏病患者蛋白质-能量消耗的流行情况:国际肾脏营养与代谢学会当代观察性研究的荟萃分析。
J Ren Nutr. 2018 Nov;28(6):380-392. doi: 10.1053/j.jrn.2018.08.006.
9
Optimizing Protein Intake and Nitrogen Balance (OPINiB) in Adult Critically Ill Patients: A Study Protocol for a Randomized Controlled Trial.成年危重症患者蛋白质摄入量与氮平衡优化(OPINiB):一项随机对照试验的研究方案
JMIR Res Protoc. 2017 May 9;6(5):e78. doi: 10.2196/resprot.7100.
10
Controversies surrounding high-protein diet intake: satiating effect and kidney and bone health.高蛋白饮食摄入的争议:饱腹感及对肾脏和骨骼健康的影响。
Adv Nutr. 2015 May 15;6(3):260-6. doi: 10.3945/an.114.007716. Print 2015 May.

血液透析中的营养挑战:在控制磷的同时管理蛋白质能量消耗

Nutritional Challenges in Hemodialysis: Managing Protein Energy Wasting While Controlling Phosphorus.

作者信息

Deng Jiaxiu, Luo Weixiang, Hu Xiumei, Yang Chao

机构信息

Department of Blood Purification Shenzhen People's Hospital, The Second Clinical Medical College, Jinan University, The First Affiliated Hospital, Southern University of Science and Technology Shenzhen Guangdong China.

Department of Nursing Shenzhen People's Hospital, The Second Clinical Medical College, Jinan University, The First Affiliated Hospital, Southern University of Science and Technology Shenzhen Guangdong China.

出版信息

Clin Case Rep. 2025 Aug 1;13(8):e70714. doi: 10.1002/ccr3.70714. eCollection 2025 Aug.

DOI:10.1002/ccr3.70714
PMID:40756087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12317103/
Abstract

We present a case of a 72-year-old male on maintenance Hemodialysis, with protein energy wasting and mild phosphoremia managed through targeted nutritional intervention that focused on high-biological value protein intake while maintaining phosphorus control. A multimodality approach including dietary modification and supplementation led to improvement in overall nutritional status.

摘要

我们报告一例72岁维持性血液透析男性患者,其存在蛋白质能量消耗和轻度磷血症,通过以摄入高生物价蛋白质同时维持磷控制为重点的针对性营养干预进行管理。包括饮食调整和补充在内的多模式方法使整体营养状况得到改善。