中国血液净化

中国血液净化 ›› 2022, Vol. 21 ›› Issue (06): 441-444.doi: 10.3969/j.issn.1671-4091.2022.06.013

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慢性肾脏病患者蛋白质能量消耗早期筛查及评估方式的研究进展#br#

崔红琴   武嫣斐    方敬爱    孙艳艳    刘文媛    张晓东    常沁涛   王蕊花   

  1. 山西医科大学第一医院 1肾脏内科 2中医科
  • 收稿日期:2021-11-24 修回日期:2022-03-30 出版日期:2022-06-12 发布日期:2022-06-12
  • 通讯作者: 武嫣斐 wuyanfei2112@sina.com E-mail:wuyanfei2112@sina.com

Research progress in the early screening and evaluation of protein energy wasting in patients with chronic kidney disease

  • Received:2021-11-24 Revised:2022-03-30 Online:2022-06-12 Published:2022-06-12
  • Contact: WU Yan-fei wuyanfei2112@sina.com E-mail:wuyanfei2112@sina.com

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摘要： 蛋白质能量消耗(protein energy wasting，PEW)在慢性肾脏病患者，尤其是维持性血液透析患者中很常见，影响慢性肾脏病患者的生存率和死亡率、生存质量。PEW主要表现低血清白蛋白和前白蛋白浓度，体质量指数(body mass index，BMI)降低，以及膳食蛋白质摄入量的减少等。因此，早期识别与诊断PEW对慢性肾脏病患者的预后十分重要。

关键词: 慢性肾脏病, 蛋白质能量消耗, 早期评估, 研究进展

Abstract: Protein energy wasting (PEW) is a common complication in patients with chronic kidney disease, especially those treated with maintenance hemodialysis. PEW affects their survival, mortality and quality of life. PEW clinically manifests low serum albumin and prealbumin concentrations, reduced body mass index (BMI), and decreased dietary protein intake. Therefore, early identification and diagnosis of PEW is essential for the prognosis of chronic kidney disease patients.

Key words: Chronic kidney disease, Protein energy wasting, Early assessment, Research progress

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