Hylander B, Barkeling B, Rössner S
Department of Internal Medicine, Karolinska Hospital, Stockholm, Sweden.
Am J Kidney Dis. 1997 May;29(5):691-8. doi: 10.1016/s0272-6386(97)90121-9.
Nineteen predialysis patients (group A) were studied before and after 3 to 6 months on continuous ambulatory peritoneal dialysis (CAPD) treatment. Six patients (group B) were studied during CAPD treatment and 3 to 6 months after transplantation. Nine uremic patients (group C) were studied before and 3 to 6 months after transplantation. The patients were invited to a single test meal by means of the universal eating monitor VIKTOR. An excess portion of hash was served on a plate placed on a hidden scale that was connected to a computer registering the eating process on line. The patients filled out visual analogue scales concerning appetite and food preferences before and after the test meal. The feeling of fullness before meals was greater in patients on CAPD than in patients in the predialytic state. Transplanted patients felt less full before meals compared with their ratings during the dialysis period. The median total intake of food was lower during dialysis than after transplantation. The palatability of the food was rated lower during dialysis compared with the ratings in the uremic state. Poor appetite and low intake during dialysis is still a problem, but improves after transplantation.
对19例透析前患者（A组）在持续非卧床腹膜透析（CAPD）治疗3至6个月前后进行了研究。对6例患者（B组）在CAPD治疗期间及移植后3至6个月进行了研究。对9例尿毒症患者（C组）在移植前及移植后3至6个月进行了研究。通过通用饮食监测仪VIKTOR邀请患者食用一顿标准测试餐。在置于隐藏秤上的盘子里提供了过量的碎肉，该秤与一台在线记录进食过程的计算机相连。患者在测试餐前后填写了关于食欲和食物偏好的视觉模拟量表。CAPD患者饭前的饱腹感比透析前状态的患者更强。与透析期间的评分相比，移植患者饭前感觉饱腹感较轻。透析期间食物的总摄入量中位数低于移植后。与尿毒症状态下的评分相比，透析期间食物的适口性评分较低。透析期间食欲不振和摄入量低仍然是一个问题，但移植后有所改善。
