慢性肾衰竭血液透析患者高磷血症饮食干预研究进展
摘要
<正>高磷血症是慢性肾衰竭维持性血液透析(maintenance hemodialysis,MHD)患者常见的并发症,全球透析预后和实践模式研究(the dialysis outcome and practice patterns study,DOPPS)显示,世界各国透析患者高磷血症发生率均较高,血磷>1.78mmol/L约占34.2%,而我国血磷控制情况更不理想,血磷平均值为2.01mmol/L,是所有参加DOPPS
引文
[1]郁胜强,汤晓静.血液透析技术改善高磷血症的体会[J].肾脏病与透析肾移植杂志,2015,24(3):257-258.
[2]Lau WL,Linnes M,Chu EY,et al.High phosphate feeding promotes mineral and bone abnormalities in mice with chronic kidney disease[J].Nephrol Dial Transplant,2013,28(1):62-69.
[3]Bohnert BN,Daniel C,Amann K,et al.Impact of phosphorus restriction and vitamin D-substitution on secondary hyperparathyroidism in a proteinuric mouse model[J].Kidney Blood Press Res,2015,40(2):153-165.
[4]张道海.高磷通过活化TLR4/NF-κB信号通路诱导血管平滑肌细胞钙化的实验研究[D].重庆:第三军医大学,2017.
[5]Fakhry M,Skafi N,Fayyad-Kazan M,et al.Characterization and assessment of potential microRNAs involved in phosphate-induced aortic calcification[J].J Cell Physiol,2018,233(5):4056-4067.
[6]Block GA,Hulbert-Shearon TE,Levin NW,et al.Association of serum phosphorus and cal-cium×phosphate product with mortality risk in chronic hemodialysis patients:a national study[J].Am J Kidney Dis,1998,31(4):607-617.
[7]Shinaberger CS,Greenland S,Kopple JD,et al.Is controlling phosphorus by decreasing d-ietary protein intake beneficial or harmful in persons with chronic kidney disease?[J].Am J Clin Nutr,2008,88(6):1511-1518.
[8]缪静.低蛋白饮食治疗维持性血液透析患者高磷血症的临床研究[D].河北:河北北方学院,2014.
[9]张瑜凌,王梦婧,俞苹.维持性血液透析患者饮食蛋白摄入与营养状况的相关研究[J].中华肾脏病杂志,2016,32(3):161-166.
[10]缪静,李新伦,黄志芳,等.维持性血液透析患者低蛋白饮食治疗高磷血症的有效性与安全性研究[J].中国全科医学,2014,17(15):1691-1694.
[11]潘敏,金领微,叶白如,等.不同种α酮酸对维持性血液透析患者营养状况改善的临床研究[J].医学研究杂志,2013,42(10):113-117.
[12]Jiang Z,Tang Y,Yang L,et al.Effect of restricted protein diet supplemented with keto analogues in endstage renal disease:a systematic review and meta-analysis[J].Int U-rol Nephrol,2018,50(4):687-694.
[13]秦德英,张懿韵,陈锦环,等.维持性血透患者低磷乳清蛋白营养治疗的效果观察[J].深圳中西医结合杂志,2007,17(3):190-192.
[14]Shutto Y,Shimada M,Kitajima M,et al.Inadequate awareness among chronic kidney disease patients regarding food and drinks containing artificially added phosphate[J].PLoS One,2013,8(11):e78660.
[15]Watanabe MT,Araujo RM,Vogt BP,et al.Most consumed processed foods by patients on hemodialysis:Alert for phosphate-containing additives and the phosphate-toprotein ratio[J].Clin Nutr ESPEN,2016,14:37-41.
[16]De Fornasari ML,Dos Santos Sens YA.Replacing Phosphorus-Containing Food Additives With Foods Without Additives Reduces Phosphatemia in End-Stage Renal Disease Patients:A Randomized Clinical Trial[J].J Ren Nutr,2017,27(2):97-105.
[17]王东晖.中医饮食干预对血液净化高磷血症患者血磷及生活质量的影响[J].长春中医药大学学报,2016,32(5):998-1000.
[18]朱虹,毛心辉.中西医饮食干预对维持性血液透析患者高磷血症的影响[J].中西医结合护理,2016,2(6):31-35.
[19]Karavetian M,de Vries N,Rizk R,et al.Dietary educational interventions for management of hyperphosphatemia in hemodialysis patients:a systematic review and meta-analysis[J].Nutr Rev,2014,72(7):471-482.
[20]唐喻莹,李娜,杨晓玲,等.饮食教育对血液透析患者高磷血症干预效果的Meta分析[J].中国健康教育,2016,32(8):701-706.
[21]李飞静,陈宁,周攀,等.饮食干预对终末期肾病患者高磷血症的影响[J].浙江临床医学,2017,19(8):1477-1478.
[22]曾巧,石宏斌,黎琦,等.医生主导的强化饮食教育对高磷血症维持性血液透析患者血磷的影响[J].海南医学,2017,28(11):1747-1749.
[23]孙慧娟,陈献广,柴毅,等.系统饮食教育对维持性血液透析患者营养不良及钙磷代谢影响的研究[J].护理管理杂志,2016,16(2):135-136.
[24]Vrdoljak I,Panjkota Krbavcic I,Bituh M,et al.The impact of education and cooking methods on serum phosphate levels in patients on hemodialysis:1 year study[J].Hemodial Int,2017,21(2):256-264.
[25]Ando S,Sakuma M,Morimoto Y,et al.The Effect of Various Boiling Conditions on Reduction of Phosphorus and Protein in Meat[J].J Ren Nutr,2015,25(6):504-509.
[26]Noori N,Kalantar-Zadeh K,Kovesdy CP,et al.Association of dietary phosphorus intake and phosphorus to protein ratio with mortality in hemodialysis patients[J].Clin J Am Soc Nephrol,2010,5(4):683-692.
[27]武佼佼.饮食干预对血液透析患者高磷血症的效果研究[D].北京:北京协和医学院,2017.
[28]Duff EA,Chawke FM.A service review to assess if innovative intensive phosphate dietary education can help reduce phosphate levels to the recommended range in a hemodialysis population[J].Hemodial Int,2017,Suppl2:S22-S26.
[29]黄春香,周建芳,陆晓艳.维持性血液透析患者高磷血症知识调查与分析[J].中国中西医结合肾病杂志,2018,19(6):497-500.
[30]邹宝林,黄燕林,郭阳化,等.维持性血液透析高磷血症患者低磷饮食行为改变阶段健康信念调查[J].广东医学,2017,38(14):2206-2208.
[31]Lambert K,Mullan J,Mansfield K.An integrative review of the methodology and findings regarding dietary adherence in end stage kidney disease[J].BMC Nephrol,2017,18(1):318.'v
[2]Lau WL,Linnes M,Chu EY,et al.High phosphate feeding promotes mineral and bone abnormalities in mice with chronic kidney disease[J].Nephrol Dial Transplant,2013,28(1):62-69.
[3]Bohnert BN,Daniel C,Amann K,et al.Impact of phosphorus restriction and vitamin D-substitution on secondary hyperparathyroidism in a proteinuric mouse model[J].Kidney Blood Press Res,2015,40(2):153-165.
[4]张道海.高磷通过活化TLR4/NF-κB信号通路诱导血管平滑肌细胞钙化的实验研究[D].重庆:第三军医大学,2017.
[5]Fakhry M,Skafi N,Fayyad-Kazan M,et al.Characterization and assessment of potential microRNAs involved in phosphate-induced aortic calcification[J].J Cell Physiol,2018,233(5):4056-4067.
[6]Block GA,Hulbert-Shearon TE,Levin NW,et al.Association of serum phosphorus and cal-cium×phosphate product with mortality risk in chronic hemodialysis patients:a national study[J].Am J Kidney Dis,1998,31(4):607-617.
[7]Shinaberger CS,Greenland S,Kopple JD,et al.Is controlling phosphorus by decreasing d-ietary protein intake beneficial or harmful in persons with chronic kidney disease?[J].Am J Clin Nutr,2008,88(6):1511-1518.
[8]缪静.低蛋白饮食治疗维持性血液透析患者高磷血症的临床研究[D].河北:河北北方学院,2014.
[9]张瑜凌,王梦婧,俞苹.维持性血液透析患者饮食蛋白摄入与营养状况的相关研究[J].中华肾脏病杂志,2016,32(3):161-166.
[10]缪静,李新伦,黄志芳,等.维持性血液透析患者低蛋白饮食治疗高磷血症的有效性与安全性研究[J].中国全科医学,2014,17(15):1691-1694.
[11]潘敏,金领微,叶白如,等.不同种α酮酸对维持性血液透析患者营养状况改善的临床研究[J].医学研究杂志,2013,42(10):113-117.
[12]Jiang Z,Tang Y,Yang L,et al.Effect of restricted protein diet supplemented with keto analogues in endstage renal disease:a systematic review and meta-analysis[J].Int U-rol Nephrol,2018,50(4):687-694.
[13]秦德英,张懿韵,陈锦环,等.维持性血透患者低磷乳清蛋白营养治疗的效果观察[J].深圳中西医结合杂志,2007,17(3):190-192.
[14]Shutto Y,Shimada M,Kitajima M,et al.Inadequate awareness among chronic kidney disease patients regarding food and drinks containing artificially added phosphate[J].PLoS One,2013,8(11):e78660.
[15]Watanabe MT,Araujo RM,Vogt BP,et al.Most consumed processed foods by patients on hemodialysis:Alert for phosphate-containing additives and the phosphate-toprotein ratio[J].Clin Nutr ESPEN,2016,14:37-41.
[16]De Fornasari ML,Dos Santos Sens YA.Replacing Phosphorus-Containing Food Additives With Foods Without Additives Reduces Phosphatemia in End-Stage Renal Disease Patients:A Randomized Clinical Trial[J].J Ren Nutr,2017,27(2):97-105.
[17]王东晖.中医饮食干预对血液净化高磷血症患者血磷及生活质量的影响[J].长春中医药大学学报,2016,32(5):998-1000.
[18]朱虹,毛心辉.中西医饮食干预对维持性血液透析患者高磷血症的影响[J].中西医结合护理,2016,2(6):31-35.
[19]Karavetian M,de Vries N,Rizk R,et al.Dietary educational interventions for management of hyperphosphatemia in hemodialysis patients:a systematic review and meta-analysis[J].Nutr Rev,2014,72(7):471-482.
[20]唐喻莹,李娜,杨晓玲,等.饮食教育对血液透析患者高磷血症干预效果的Meta分析[J].中国健康教育,2016,32(8):701-706.
[21]李飞静,陈宁,周攀,等.饮食干预对终末期肾病患者高磷血症的影响[J].浙江临床医学,2017,19(8):1477-1478.
[22]曾巧,石宏斌,黎琦,等.医生主导的强化饮食教育对高磷血症维持性血液透析患者血磷的影响[J].海南医学,2017,28(11):1747-1749.
[23]孙慧娟,陈献广,柴毅,等.系统饮食教育对维持性血液透析患者营养不良及钙磷代谢影响的研究[J].护理管理杂志,2016,16(2):135-136.
[24]Vrdoljak I,Panjkota Krbavcic I,Bituh M,et al.The impact of education and cooking methods on serum phosphate levels in patients on hemodialysis:1 year study[J].Hemodial Int,2017,21(2):256-264.
[25]Ando S,Sakuma M,Morimoto Y,et al.The Effect of Various Boiling Conditions on Reduction of Phosphorus and Protein in Meat[J].J Ren Nutr,2015,25(6):504-509.
[26]Noori N,Kalantar-Zadeh K,Kovesdy CP,et al.Association of dietary phosphorus intake and phosphorus to protein ratio with mortality in hemodialysis patients[J].Clin J Am Soc Nephrol,2010,5(4):683-692.
[27]武佼佼.饮食干预对血液透析患者高磷血症的效果研究[D].北京:北京协和医学院,2017.
[28]Duff EA,Chawke FM.A service review to assess if innovative intensive phosphate dietary education can help reduce phosphate levels to the recommended range in a hemodialysis population[J].Hemodial Int,2017,Suppl2:S22-S26.
[29]黄春香,周建芳,陆晓艳.维持性血液透析患者高磷血症知识调查与分析[J].中国中西医结合肾病杂志,2018,19(6):497-500.
[30]邹宝林,黄燕林,郭阳化,等.维持性血液透析高磷血症患者低磷饮食行为改变阶段健康信念调查[J].广东医学,2017,38(14):2206-2208.
[31]Lambert K,Mullan J,Mansfield K.An integrative review of the methodology and findings regarding dietary adherence in end stage kidney disease[J].BMC Nephrol,2017,18(1):318.'v