评估慢性肾病的蛋白质能量消耗

Shailvi Verma
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摘要

慢性肾病通常伴有一种被称为蛋白质能量消耗综合征的症状,即蛋白质消耗减少、代谢紊乱导致蛋白质流失,以及肌肉疏松症和虚弱等身体后果。由于人口老龄化和其他慢性疾病治疗的进步,近年来这一问题急剧增加。如果对蛋白质能量消耗进行适当治疗,慢性肾脏病患者的发病率和死亡率可能会大大降低。因此,预防和控制慢性肾脏病患者的蛋白质能量消耗至关重要,方法是进行全面评估,并为每位患者提供量身定制的循证治疗方案。一旦发现蛋白质能量消耗,就应联系营养师制定管理策略。该策略应包括根据患者要求专门设计的全面饮食、所需的营养补充剂以及有关饮食改变、症状控制和心理支持的咨询。通过适当的评估和护理可以降低蛋白质能量消耗的风险。这包括改变饮食习惯、阻力训练或其他形式的运动、必要时进行透析或器官移植,以及使用药物治疗任何潜在的疾病。
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Assessing protein‑energy wasting in chronic kidney disease
Chronic kidney disease is often accompanied with a syndrome known as protein-energy wasting, which is defined by decreased protein consumption, protein loss due to metabolic disturbances, and physical consequences include sarcopenia and frailty. Due to population aging and advancements in the treatment of other chronic illnesses, this problem has drastically increased in recent years. The frequency of morbidity and death in chronic kidney disease patients may be greatly decreased with proper therapy of as protein-energy wasting. Therefore, it's crucial to prevent and manage as protein-energy wasting in chronic kidney disease patients by doing a thorough evaluation and offering each patient a customized, evidence-based treatment plan. Once protein-energy wasting is recognized, a nutritionist should be contacted to create a management strategy. A thorough diet specifically designed to fit the patient's requirements, any required nutritional supplements, and counselling about dietary changes, symptom management, and psychological support should all be part of this strategy. The risk of protein-energy wasting may be decreased with proper assessment and care. This includes changes to one's diet, resistance training or other forms of exercise, dialysis or organ transplantation when necessary, and drugs to treat any underlying disorders.
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