Aguilera D, Ryckelynck J P
Unité d'hémodialyse, Centre hospitalier, Vichy.
Nephrologie. 1998;19(8):495-8.
Peritoneal dialysis is associated with nutritional abnormalities due to peritoneal glucose absorption and protein or amino acid losses into the dialysate. Nutritional assessment, every four months, is essential, based on body composition, anthropometric measurements, clinical characteristics, biochemical parameters and dietary survey. Thus 1.2 g to 1.3 protein/kg/day and 30 to 35 kcal/kg/day energy intake may be required. Oral, parenteral or intraperitoneal amino acids supplementation can improve the nutritional status in peritoneal dialysis patients.
由于腹膜对葡萄糖的吸收以及蛋白质或氨基酸向透析液中的丢失，腹膜透析与营养异常相关。基于身体成分、人体测量、临床特征、生化参数和饮食调查，每四个月进行一次营养评估至关重要。因此，可能需要每日每千克体重摄入1.2克至1.3克蛋白质以及30至35千卡能量。口服、肠外或腹膜内补充氨基酸可改善腹膜透析患者的营养状况。
