通过上面这些因素的分析,我们通常会用3D来描述我们磷管理的策略,即:Diet,饮食控制;Drug,磷结合剂;以及Dialysis,加强透析。 先说第一个D,Diet,也就是饮食的控制。 如前所述,磷的主要来源是饮食,因此控制饮食中磷的摄入非常重要。但我们临床上在这一点上经常是把复...
总而言之,极低蛋白饮食干预较为安全,但与低蛋白饮食相比,极低蛋白饮食并不能给CKD 4~5期患者带来更多的收益。 参考文献: 1.BellizziV, Signoriello S, Minutolo R, et al. No additional benefit of prescribing avery low-protein diet in patients with advanced chronic kidney disease underregular nephrology...
The largest randomized trial of low-protein diets is the Modification of Diet in Renal Disease study. Despite multiple secondary analyses, the essential intention-to-treat analysis failed to demonstrate a benefit in the primary outcome of rate of decline of glomerular filtration rate. There are ...
总之,本研究提示,晚期CKD患者若接受了SZC治疗,则可以享用更自由、健康的食谱,有助于其长期获益。 1.AvesaniCM, Heimbürger O, Rubin C, et al. Plant-based diet in hyperkalemic chronickidney disease patients receiving sodium zirconium cyclosilicate: a feasibilityclinical trial. Am J Clin Nutr. 2024 Sep...
Diet控制饮食，限制磷的摄入 非透析CKD患者高磷血症治疗的“2D“原则1-2 Drugs 合理使用磷结合剂 CKDG3-G5D期患者，应当在血磷进行性、持续性升高时，开始降磷治疗 注：CKD：慢性肾脏病；KDIGO：改善全球肾脏病预后组织；CKD-MBD：慢性肾脏病矿物质与骨异常 限磷饮食是管理高磷血症的重要措施，而限制蛋白质的...
《中国慢性肾脏病矿物质和骨异常诊治指南》[1]推荐 CKD 患者采用 3D 原则管理高磷血症:Diet(控制饮食,限制磷的摄入)、Dialysis(调整透析治疗方案)、Drug(药物治疗)。 现有的磷结合剂以增加肠道磷排泄为主。《中国慢性肾脏病矿物质和骨异常诊治指南》建议,对血磷进行性、持续性升高的 CKD 患者进行降磷治疗[1]。
[8]. Kalantar-Zadeh K, Moore LW. Impact of Nutrition and Diet on COVID-19 Infection and Implications for Kidney Health and Kidney Disease Management. J Ren Nutr. 2020;30(3):179‐181. [9]. Ikizler TA, Burrowes JD, Byham-Gray...
4.Mancini, J.G.; Filion, K.B.; Atallah, R.; Eisenberg, M.J. Systematic Review of the Mediterranean Diet for Long-Term Weight Loss. Am. J. Med. 2016, 129, 407–415.e4. 5.Hu, E.A.; Coresh, J.; Anderson, C.A.M.; Appel, L.J.; Grams, M.E.; Crews, D.C.; Mills,...
Con: The role of diet for people with advanced Stage 5 CKD. Restriction of dietary protein intake has been used in the management of chronic kidney disease (CKD) for many decades, yet remains controversial, with marked variations in its application in clinical practice. There is extensive litera...
4.Mancini, J.G.; Filion, K.B.; Atallah, R.; Eisenberg, M.J. Systematic Review of the Mediterranean Diet for Long-Term Weight Loss. Am. J. Med. 2016, 129, 407–415.e4. 5.Hu, E.A.; Coresh, J.; Anderson, C.A.M.; Appel, L.J.; Grams, M.E.; Crews, D.C.; Mills,...