Aparicio M, Combe C, Larroumet-Sornay N, de Précigout V
Service de néphrologie, Hôpital Pellegrin Tripode, Bordeaux.
Nephrologie. 1995;16(1):71-6.
Nearly 50% of patients treated by CAPD develop a more or less severe state of denutrition with which morbidity and mortality are closely linked. Though many biological and biophysical examinations have been proposed to evaluate the nutritional status of patients, it appears that, from a practical standpoint, the information furnished by the medical history, anthropometric parameters, nitrogen balance and serum protein levels are sufficient. The prevention and/or treatment of this malnutrition can only be achieved by correcting the two principal contributing factors which are the reduced energetico protidic supply (especially protidic) and the inadequate dialysis in connection particularly with the progressive loss of the residual renal function.
接受持续性不卧床腹膜透析（CAPD）治疗的患者中，近50%会出现或多或少的严重营养不良状态，而发病率和死亡率与之密切相关。尽管已经提出了许多生物学和生物物理学检查方法来评估患者的营养状况，但从实际角度来看，病史、人体测量参数、氮平衡和血清蛋白水平所提供的信息似乎就足够了。这种营养不良的预防和/或治疗只能通过纠正两个主要促成因素来实现，这两个因素是能量和蛋白质供应减少（尤其是蛋白质）以及透析不充分，特别是与残余肾功能的逐渐丧失有关。
