血液透析病人控制血鉀的重要性－飲食策略

The Importance of Blood Potassium Control in Hemodialysis Patients - The Strategies of Diet Treatment

吳紅蓮(Hung-Lien Wu)

《腎臟與透析》 28卷4期 (2016/12) Pp. 155-159

https://doi.org/10.6340/KD.2016.28(4).01

摘要

高血鉀最常見的病因包括腎臟排除能力下降、飲食中鉀離子攝取過多、降血壓藥物等。透析病患發生高血鉀大都與飲食攝取過多鉀離子有關，因此控制食物的鉀攝取量是治療高血鉀策略之一。高鉀的食物如高湯、蔬菜、甘藷、榴槤、香蕉、奇異果、水果乾、果汁，其他如奶類、堅果類、高纖穀類。每份食物含鉀量大於200毫克以上就是高鉀的食物，血液透析病人不可吃太多高鉀的食物，若病人血鉀穩定於正常值下，高鉀食物每周不可超過兩份。

關鍵字

血液透析 ； 高血鉀 ； 高鉀飲食

並列摘要

The most common cause of hyperkalemia include reduced renal excretion, intake excessive dietary potassium, blood pressure-lowering drugs. Most dialysis patients had hyperkalemia correlated with excessive dietary potassium, and therefore the control of potassium in diet is one of hyperkalemia treatment strategies. High potassium diets such as soup, vegetables, sweet potatoes, durian, bananas, kiwi, dried fruit, and juices, others such as milk, nuts, and high fiber cereals. Hyperkalemia is greater than 200 mg per serving food, hemodialysis patients do not eat too much potassium foods, if the patient is stable in normal serum potassium, the high potassium foods do not exceed two servings per week.

並列關鍵字

hemodialysis ； hyperkalemia ； high potassium diets