慢性腎臟病患改善貧血的重要性－飲食治療策略

The Importance of Anemia Management in Chronic Kidney Disease Patients - Diet Strategies

吳紅蓮(Hung-Lien Wu)

《腎臟與透析》 29卷3期 (2017/09) Pp. 144-148

https://doi.org/10.6340/KD.2017.29(3).10

摘要

慢性腎臟病患隨腎臟功能的惡化，貧血越嚴重，貧血會降低病人的生活品質，增加住院率與死亡率。貧血的原因有降低製造紅血球生成素(erythropoietin, EPO)的能力、縮短紅血球生命期、增加血液流失、發炎等。貧血的治療如施打紅血球生成素、口服或施打鐵劑、補充維生素(B12與葉酸)、足夠的營養等。建議適量攝食含血基質鐵(來自動物類的鐵)的食物，如紅色肉類、動物內臟、蛤等，蔬果不是好的鐵質來源，飲食要吃得健康、均衡飲食、足夠熱量與蛋白質。

關鍵字

慢性腎臟病 ； 貧血 ； 紅血球生成素 ； 高鐵食物

並列摘要

Deteriorations in renal function would be accompanied by more severe anemia in patients with chronic kidney disease. Anemia would reduce quality of life and increase the rate of hospitalization and mortality. The causes of anemia include reduced production of erythropoietin (EPO), shortened erythrocyte survival, increased blood loss, and inflammation. The management strategies of anemia includes injection of erythropoietin, oral or IV administering of iron, supplement vitamin (vitamin B12 and folic acid), and sufficient nutrition. Anemia patients are recommended to intake moderate amount of food with rich heme iron such as red meat, animal viscera, or clams. Vegetables and fruits are not good sources of iron. The diet needs to be healthy and balanced to provide sufficient energy and protein.

並列關鍵字

chronic kidney disease ； anemia ； erythropoietin ； high iron food