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[肾功能不全的饮食治疗]

[Diet therapy in renal insufficiency].

作者信息

Masek J, Pechar J, Skála I, Sjuk O, Naddvorniková H

出版信息

Vopr Pitan. 1979 May-Jun(3):12-6.

PMID:462886
Abstract

In renal insufficiency the low-protein diet should be considered of reduction and temporary type. After clinical improvement it is advisable to place the patients on diet with a higher protein content and in this way to avert any further fall in the concentration of essential amino acids in the plasma and thus keep down the progressive protein-caloric fasting. The disturbance of the protein metabolism is, however, provoked not only by the protein-caloric deprivation, but by the disease itself. In this way, the developing upsets distort the picture of the protein-calorie deficiency, which finds its expression in the appearance of the anemic syndrome, disturbed electrolytes metabolism, imbalance of the acid-base equilibrium, etc. Therefore, one should look for other ways for their compensation, not believing that this can be achieved through the dietotherapy alone.

摘要

在肾功能不全时,应考虑采用减量和短期的低蛋白饮食。临床症状改善后,建议让患者食用蛋白质含量较高的饮食,以此避免血浆中必需氨基酸浓度进一步下降,从而抑制进行性蛋白质 - 热量缺乏。然而,蛋白质代谢紊乱不仅由蛋白质 - 热量缺乏引起,还由疾病本身导致。这样一来,逐渐出现的不适会扭曲蛋白质 - 热量缺乏的表现,其表现为贫血综合征、电解质代谢紊乱、酸碱平衡失调等。因此,应该寻找其他补偿方法,而不能仅仅认为通过饮食疗法就能实现。

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