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中华肾病研究电子杂志 ›› 2016, Vol. 05 ›› Issue (03) : 138 -140. doi: 10.3877/cma.j.issn.2095-3216.2016.03.010

所属专题: 文献

综述

老年腹膜透析患者的营养管理
章倩莹1, 任红1,()   
  1. 1. 200025 上海交通大学医学院附属瑞金医院肾脏科
  • 收稿日期:2016-04-21 出版日期:2016-06-28
  • 通信作者: 任红
  • 基金资助:
    上海市自然科学基金(15ZR1426300)

Nutrition management for elderly patients under peritoneal dialysis

Qianying Zhang1, Hong Ren1,()   

  1. 1. Department of Nephrology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Received:2016-04-21 Published:2016-06-28
  • Corresponding author: Hong Ren
  • About author:
    Corresponding author: Ren Hong, Email:
引用本文:

章倩莹, 任红. 老年腹膜透析患者的营养管理[J/OL]. 中华肾病研究电子杂志, 2016, 05(03): 138-140.

Qianying Zhang, Hong Ren. Nutrition management for elderly patients under peritoneal dialysis[J/OL]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2016, 05(03): 138-140.

营养不良是老年腹膜透析患者的常见并发症之一,且与患者预后不佳有关。老年腹膜透析患者营养不良的原因多样,除尿毒症毒素影响食欲及腹膜透析造成的营养物质流失外,老年患者由于心血管、糖尿病等合并症增多,且存在生理、心理以及社会学等方面的特殊因素,更易发生营养不良。定期合理评估老年腹膜透析患者的营养状态有助于及时发现诱因,预防营养不良发生。治疗需根据个体情况制定具体干预方案。

Malnutrition is one of the common complications in elderly patients under peritoneal dialysis (PD), and closely correlated with poor prognosis, the reasons of which are complex. Besides the influences on appetite by uremic toxins and loss of nutrients during peritoneal dialysis periods, elderly PD patients tend to undergo malnutrition because of the increased prevalence of other complications such as cardiovascular diseases and diabetes, and special factors of physiology, psychology, and sociology. Regular rational assessments on nutritional status in elderly PD patients help to find the causes and prevent malnutrition in time. For treatment, the specific intervention plan must be formulated according to the individual circumstances.

[1]
郭梦,班悦,孙千惠, 等. 中国人口老龄化与疾病的经济负担[J]. 医学与哲学(A), 2015, 36(4): 32-34.
[2]
Segall L,Nistor I,Van Biesen W, et al. Dialysis modality choice in elderly patients with end-stage renal disease: a narrative review of the available evidence[J]. Nephrol Dial Transplant, 2015, Epub ahead of print.
[3]
United States Renal Data System. 2015 USRDS annual data report: Epidemiology of Kidney Disease in the United States [DB/OL]. Bethesda, MD: 2015.

URL    
[4]
2015上海市透析登记报告,上海透析登记网络,

URL    
[5]
任红,谢静远,李晓, 等. 老年腹膜透析患者合并营养不良、炎症及心血管疾病对预后的影响分析[J]. 中国血液净化, 2008, 7(9): 475-479.
[6]
Young GA,Kopple JD,Lindholm B, et al. Nutritional assessment of continuous ambulatory peritoneal dialysis patients: an international study[J]. Am J Kidney Dis, 1991, 17(4): 462-271.
[7]
Chung SH,Lindholm B,Lee HB. Is malnutrition an independent predictor of mortality in peritoneal, dialysis patients?[J]. Nephrol Dial Transplant, 2003, 18(10): 2134-2140.
[8]
Cianciaruso B,Brunori G,Traverso G, et al. Nutritional status in the elderly patient with uraemia[J]. Nephrol Dial Transplant, 1995, 10(Suppl 6): 65-68.
[9]
Joshi U,Guo Q,Yi C, et al. Clinical outcomes in elderly patients on chronic peritoneal dialysis: a retrospective study from a single center in china[J]. Perit Dial Int, 2014, 34(3): 299-307.
[10]
CANADA-USA (CANUSA) Peritoneal Dialysis Study Group. Adequacy of dialysis and nutrition in continuous peritoneal dialysis: association with clinical outcomes[J]. J Am Soc Nephrol, 1996, 7(2): 198-207.
[11]
Chung SH,Lindholm B,Lee HB. Influence of initial nutritional status on continuous ambulatory peritoneal dialysis patient survival[J]. Perit Dial Int, 2000, 20(1): 19-26.
[12]
Morley JE. Under nutrition in older adults[J]. Fam Pract, 2012, 29(1): i89-i93.
[13]
Bergstrom J. Why are dialysis patients malnourished?[J]. Am J Kidney Dis, 1995, 26(1): 229-241.
[14]
Wolfson M. Nutrition in elderly dialysis patients[J]. Semin Dial, 2002, 15(2): 113-115.
[15]
Han SH,Han DS. Nutrition in patients on peritoneal dialysis[J]. Nat Rev Nephrol, 2012, 8(3): 163-175.
[16]
Mehrotra R. Nutritional issues in peritoneal dialysis patients: how do they differ from that of patients undergoing hemodialysis?[J]. J Ren Nutr, 2013, 23(3): 237-240.
[17]
Blumenkrantz MJ,Kopple JD,Moran JK, et al. Nitrogen and urea metabolism during continuous ambulatory peritoneal dialysis[J]. Kidney Int, 1981, 20(1): 78-82.
[18]
Lindholm B,Bergström J. Nutritional aspects on peritoneal dialysis[J]. Kidney Int, 1992, 42(Suppl): S165-S171.
[19]
Schmicker R. Nutritional treatment of hemodialysis and peritoneal dialysis patients[J]. Artif Organs, 1995, 19(8): 837-841.
[20]
Couchoud C,Moranne O,Frimat L, et al. Associations between comorbidities, treatment choice and outcome in the elderly with end-stage renal disease[J]. Nephrol Dial Transplant, 2007, 22(11): 3246-3254.
[21]
Volpi E,Campbell WW,Dwyer JT, et al. Is the optimal level of protein intake for older adults greater than the recommended dietary allowance?[J]. J Gerontol A Biol Sci Med Sci, 2013, 68(6): 677-681.
[22]
National Kidney Foundation K/DOQI. Clinical practice guidelines for nutrition in chronic renal failure[J]. Am J Kidney Dis, 2000, 35(6 Suppl 2): S1-S140.
[23]
Heimbürger O,Qureshi AR,Blaner WS, et al. Hand-grip muscle strength, lean body mass, and plasma proteins as markers of nutritional status in patients with chronic renal failure close to start of dialysis therapy[J]. Am J Kidney Dis, 2000, 36(6): 1213-1225.
[24]
Obi Y,Qader H,Kovesdy CP, et al. Latest consensus and update on protein-energy wasting in chronic kidney disease[J]. Curr Opin Clin Nutr Metab Care, 2015, 18(3): 254-262.
[25]
杜琇,任红,谢静远, 等. 生物电阻抗技术用于腹膜透析患者营养评估的研究[J]. 中国血液净化, 2014, 13(10): 703-707.
[26]
Wolfson M. Nutrition in elderly dialysis patients[J]. Semin Dial, 2002, 15(2): 113-115.
[27]
Bauer J,Biolo G,Cederholm T, et al. Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group[J]. J Am Med Dir Assoc, 2013, 14(8): 542-559.
[28]
Deutz NE,Bauer JM,Barazzoni R, et al. Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group[J]. Clin Nutr, 2014, 33(6): 929-936.
[29]
Beto JA,Bansal VK. Medical nutrition therapy in chronic kidney failure: integrating clinical practice guidelines[J]. J Am Diet Assoc, 2004, 104(3): 404-409.
[30]
Kopple JD. National kidney foundation K/DOQI clinical practice guidelines for nutrition in chronic renal failure[J]. Am J Kidney Dis, 2001, 37(1 Suppl 2): S66-S70.
[31]
Ikizler TA,Cano NJ,Franch H, et al. Prevention and treatment of protein energy wasting in chronic kidney disease patients: a consensus statement by the International Society of Renal Nutrition and Metabolism[J]. Kidney Int, 2013, 84(6): 1096-1107.
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