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营养与透析处方

Nutrition and the dialysis prescription.

作者信息

Chertow G M, Bullard A, Lazarus J M

机构信息

Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass 02115, USA.

出版信息

Am J Nephrol. 1996;16(1):79-89. doi: 10.1159/000168974.

Abstract

Malnutrition is common among patients with acute and chronic renal failure. The efficiency of modern dialytic techniques has allowed for more liberal administration of nutrients to patients with renal failure, particularly with regard to protein and amino acids. Protein restriction is not indicated for patients on dialysis, and should be employed cautiously, if at all, in patients with renal insufficiency. The 'nutrition prescription' should be considered a vital part of the comprehensive medical, surgical, and dialytic care provided to patients with renal disease.

摘要

营养不良在急慢性肾衰竭患者中很常见。现代透析技术的有效性使得对肾衰竭患者可以更自由地给予营养物质,尤其是蛋白质和氨基酸。透析患者无需限制蛋白质摄入,对于肾功能不全患者,若要限制蛋白质摄入也应谨慎使用。“营养处方”应被视为肾病患者综合医疗、外科及透析治疗的重要组成部分。

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