慢性腎衰竭病人的鈣、磷代謝異常之飲食對策

腎衰竭病人鈣磷不平衡導致一連串併發症，飲食控制是最重要的一個環節。高蛋白質的攝取導致磷的攝取過量，選擇高生理價的動物性蛋白，與減少加工食品的攝取，可改善飲食磷攝取過量；同時搭配上磷結合劑的使用，使用上須與食物一起吃，以達到結合磷的效果。鈣磷不平衡導致血管鈣化、骨質病變，與皮膚搔癢等問題，透過飲食控制減少透析病人併發症的發生，是一經濟且有效的治療方式。

關鍵字

鈣；磷；慢性腎衰竭；飲食控制

並列摘要

In renal failure patients, many complications come from the imbalance of calcium and phosphate, including renal osteodystrophy, vascular calcification, hyperparathyroidism, and refractory pruritus. The most important strategy to prevent this kind of complication is diet control. To achieve good nutrition status, renal failure patients take high protein diet, which may contain a lot of phosphate. Therefore, phosphate control is not an easy task. We always educate our patients to have high physiological protein, and decrease the processed food intake. Meanwhile, we suggest our patients to have phosphate binder when having food at the same time. Phosphate binders will decrease the phosphate absorption from gastrointestinal tract. With continuing diet control and phosphate binders use, we can avoid the notorious complications. Diet control is an effective method to improve patients' life quality and outcomes.

並列關鍵字

calcium ； phosphorus ； chronic kidney disease ； diet control

被引用紀錄

林姵妘、林淑華、林筱芳（2017）。運用創意衛教模式提升血液透析病人對高磷飲食之認知。臺灣腎臟護理學會雜誌，16(2)，44-59。https://doi.org/10.3966/172674042017061602004

葉淑敏、林育如、吳莒瑛、徐紫娟、張玉婷（2018）。血液透析護理人員執行高血磷護理指導完整性之改善方案。領導護理，19(1)，91-104。https://doi.org/10.29494/LN.201803_19(1).0008

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慢性腎衰竭病人的鈣、磷代謝異常之飲食對策

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