Influence of phosphate restriction, keto-acids and vitamin D on the progression of chronic renal failure.

P T Fröhling, R Schmicker, F Kokot, K Vetter, J Kaschube, K H Götz, M Jacopian, K Lindenau
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Abstract

Progression of renal failure was investigated in a prospective follow-up study of 60 patients with mild and 100 patients with advanced renal failure. Phosphate restriction in mild and protein restriction in advanced renal failure can delay the progression rate of patients with chronic renal insufficiency. Simultaneous administration of Vitamin D does not effect the progression. Administration of keto-acids to the low protein diet has a strong delaying effect on the progression rate.

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限制磷酸盐、酮酸和维生素D对慢性肾衰竭进展的影响。
对60例轻度肾功能衰竭患者和100例晚期肾功能衰竭患者进行前瞻性随访研究。轻度肾功能衰竭时限制磷酸盐和晚期肾功能衰竭时限制蛋白质可延缓慢性肾功能不全患者的进展速度。同时服用维生素D不会影响病情进展。在低蛋白饮食中加入酮酸对进展率有很强的延缓作用。
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