慢性肾衰竭中的维生素水平及补充需求。

Vitamin levels in chronic renal failure and need for supplementation.

作者信息

Stein G, Sperschneider H, Koppe S

出版信息

Blood Purif. 1985;3(1-3):52-62. doi: 10.1159/000169398.

Abstract

Deficiencies of water-soluble vitamins may occur in uremic patients mainly because of restricted consumption and of loss during chronic hemo- and peritoneal dialysis. Although the daily requirement for most vitamins is not well defined in chronic renal failure supplementation of the vitamins thiamine, riboflavin, pyridoxine, pantothenic acid, niacin and ascorbic acid, the form of one multivitamin preparation without vitamin A as well as folic acid in dialysis patients after each dialysis is recommended. There is no need for vitamin B12, vitamin A and vitamin E.

摘要

水溶性维生素缺乏症可能主要发生在尿毒症患者中，这主要是由于其摄入量受限以及在慢性血液透析和腹膜透析过程中的流失。尽管慢性肾衰竭患者对大多数维生素的每日需求量尚未明确界定，但建议在每次透析后为透析患者补充硫胺素、核黄素、吡哆醇、泛酸、烟酸、抗坏血酸（一种不含维生素A的多种维生素制剂形式）以及叶酸。不需要补充维生素B12、维生素A和维生素E。