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[饮食治疗方案对慢性肾衰竭患者的有效性]

[Effectiveness of the diet therapy program in patients with chronic renal failure].

作者信息

Nikula T D, Pyrig L A, Anishchenko V M

出版信息

Vopr Pitan. 1983 Mar-Apr(2):31-5.

PMID:6858070
Abstract

The authors developed diets 7A and 7B with varying supply of low-protein food for different therapeutic institutions. Sixty-four four patients with chronic renal failure (CRF) received an experimental diet according to an individual program with regard to the stage, the clinical pattern of CRF and the patient's tolerance to protein. The diet was given after the patients had been kept on the control standard, low-protein, and high-caloric diet. After 3 to 10 weeks of the preset dietetic management the patients showed a considerable improvement in the well-being, an increase in the mean body weight accompanied by decreased edema, fat and hypertension. The time course of changes in the laboratory indicators attested to an improvement of nitrous, protein, lipid and carbohydrate metabolism, a decrease in electrolyte abnormalities, acidosis, and anemia. The deficiency of essential amino acids in the blood remained unchanged, but their ratio to replaceable amino acids slightly increased, while loss with urine declined.

摘要

作者针对不同治疗机构,开发了低蛋白食物供应不同的7A和7B饮食方案。64例慢性肾衰竭(CRF)患者根据个体方案接受了实验性饮食,该方案考虑了CRF的阶段、临床模式以及患者对蛋白质的耐受性。在患者维持对照标准、低蛋白和高热量饮食后给予该饮食。经过3至10周预设的饮食管理,患者的健康状况有了显著改善,平均体重增加,同时水肿、脂肪和高血压减轻。实验室指标变化的时间进程证明了氮、蛋白质、脂质和碳水化合物代谢得到改善,电解质异常、酸中毒和贫血减少。血液中必需氨基酸的缺乏保持不变,但其与可替代氨基酸的比例略有增加,而尿中损失减少。

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