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首页> 外文期刊>Journal of nephrology. >Phosphate control in chronic uremia: don't forget diet.
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Phosphate control in chronic uremia: don't forget diet.

机译：慢性尿毒症中的磷酸盐控制：不要忘记饮食。

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Control of the phosphate balance is a major concern for chronic dialysis patients and it depends on dietary intake, intestinal binding and dialytic removal. Phosphorus mass transfer through dialysis and new phosphorus binders have been widely investigated, but negligible attention has been given to dietary phosphorus management, because of the problems of poor compliance and conflict with the recommended high protein intake. The nutritional target in dialysis patients should be a diet supplying adequate protein but limited phosphate intake, without dramatic changes of dietary habits and lifestyle. It is important to educate patients regarding phosphorus content of current foods so that foods providing less phosphorus with the same protein content can be selected, thus preventing dietary phosphate overload. On the basis of a three-day dietary record, dieticians should give the patient personalised advice in order to reduce phosphorus intake while ensuring the desired protein and energy intake. Dietary manipulation may have little impact on the dialysis population but in individual patients dietary counselling can greatly improve phosphate control. Close co-operation between nephrologists and dieticians is needed to motivate patients and ensure compliance, if dietary intervention is to succeed. All patients should be given dietary education and counselling, especially young-adults, because dietary phosphate control is an important component of an integrated therapeutic approach to phosphate retention and hyperphosphatemia in end-stage renal disease.
机译：磷酸盐平衡的控制是慢性透析患者的主要问题，它取决于饮食摄入，肠粘连和透析去除。通过透析和新的磷结合剂进行磷的质量转移已得到广泛研究，但由于依从性差且与建议的高蛋白摄入量相矛盾的问题，饮食中的磷管理受到了可忽略的关注。透析患者的营养目标应是提供足够蛋白质但限制磷酸盐摄入量的饮食，饮食习惯和生活方式没有明显改变。对患者进行有关当前食物中磷含量的教育非常重要，这样可以选择磷含量较少且蛋白质含量相同的食物，从而防止饮食中磷酸盐的超载。根据三天的饮食记录，营养师应为患者提供个性化建议，以减少磷的摄入量，同时确保所需的蛋白质和能量摄入。饮食控制对透析人群的影响很小，但在个别患者中，饮食咨询可以大大改善磷酸盐的控制。如果饮食干预要成功，则需要肾脏病学家和营养师之间密切合​​作以激发患者并确保依从性。应向所有患者提供饮食教育和咨询服务，尤其是年轻人，因为饮食中的磷酸盐控制是终末期肾脏疾病中磷酸盐保留和高磷酸盐血症综合治疗方法的重要组成部分。

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