透析中营养治疗干预蛋白质能量消耗的研究进展

戴选彤; 蒋更如

doi:10.3969/j.issn.1671-4091.2019.07.009

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中国血液净化 >

2019 , Vol. 18 >Issue 07: 499 - 502

DOI: https://doi.org/10.3969/j.issn.1671-4091.2019.07.009

综述

透析中营养治疗干预蛋白质能量消耗的研究进展

戴选彤 ,
蒋更如

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1. 上海交通大学医学院附属新华医院肾病科

收稿日期: 2018-12-18

修回日期: 2019-02-21

网络出版日期: 2019-07-12

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Providing nutrition for protein-energy wasting during hemodialysis treatment

DAI Xuan-Tong ,
JIANG Geng-Ru

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1Department of Nephrology, Xinhua Hospital Affiliated to Medical College of Shanghai Jiaotong University, Shanghai 200092, China

Received date: 2018-12-18

Revised date: 2019-02-21

Online published: 2019-07-12

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摘要

【摘要】维持性血液透析患者(maintenance hemodialysis，MHD)大多存在蛋白质能量消耗(proteinenergy wasting，PEW)。PEW 也是MHD 患者死亡的独立危险因素，与MHD 患者的不良预后及生活质量密切相关。而在透析过程中如何加强营养治疗一直饱受争议，本文就血液透析时营养治疗干预PEW 的研究进展进行综述。

关键词： 血液透析; 蛋白质能量代谢; 营养干预; 透析中进食; 肠外营养

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戴选彤 , 蒋更如 . 透析中营养治疗干预蛋白质能量消耗的研究进展[J]. 中国血液净化, 2019 , 18(07) : 499 -502 . DOI: 10.3969/j.issn.1671-4091.2019.07.009

Abstract

【Abstract】Most maintenance hemodialysis patients have protein energy wasting (PEW). PEW is an independent risk factor for death of these patients and is also closely related to the poor prognosis and quality of life. To provide nutritional therapy during hemodialysis has been controversial. This article reviews the nutritional intervention of PEW during hemodialysis.

Key words： Maintenance hemodialysis; Protein-energy wasting; Nutritional intervention; Eating during hemodialysis; Intradialytic parenteral nutrition

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