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Dietary educational interventions for management of hyperphosphatemia in hemodialysis patients: a systematic review and meta-analysis.
血液透析患者高磷血症管理的饮食教育干预: 系统综述和荟萃分析。
dietary education hemodialysis hyperphosphatemia management
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摘要

Strategies to enhance knowledge of and adherence to dietary guidelines for management of hyperphosphatemia in hemodialysis patients have been studied extensively over the past decade. This review is the first to compile all of them (2003-2013) and conduct a meta-analysis through calculation of effect size, with the aim of identifying the optimal nutrition education methods for effective management of hyperphosphatemia in hemodialysis patients. The following strategies were identified as being effective in changing dietary behavior: 1) use of self-evaluation and self-regulation techniques within educational tools, along with easy-to-apply skills; 2) individualized counseling by a renal dietitian provided just before the hemodialysis session; 3) high-intensity education; and 4) long duration of interventions. Future studies should focus on conducting randomized controlled trials with powered samples to help generate stronger evidence. 

译文

在过去的十年里,提高血液透析患者对高磷血症饮食指南的认识和坚持的策略已经被广泛研究。这篇综述是第一个编译它们的 (2003-2013),并通过计算效应大小进行荟萃分析, 目的是确定血液透析患者有效管理高磷血症的最佳营养教育方法。以下策略被认为在改变饮食行为方面是有效的: 1) 在教育工具中使用自我评估和自我调节技术,以及易于应用的技能; 2) 血液透析前由肾脏营养师提供个性化咨询; 3) 高强度教育; 和 4) 长期干预。未来的研究应该集中在用动力样本进行随机对照试验,以帮助产生更强有力的证据。

Hyperphosphatemia

内分泌 电解质紊乱 疾病
概述  :  

高磷血症是一种电解质紊乱,血液中有水平升高的磷酸盐,大多数人没有症状,而一些人则在软组织中形成钙沉积。通常,钙含量也很低,但是可能导致肌肉痉挛。原因包括肾衰竭,甲状旁腺功能减退症,糖尿病酮症酸中毒,肿瘤溶解综合征,和横纹肌溶解等。原因大多数人每天从红肉,奶制品,鸡肉,鱼和强化谷物等食物中获取约800至1200 mg的磷。在人体中,磷酸盐在骨骼和牙齿,细胞内部以及在血液中的含量要少得多。肾脏有助于去除体内多余的磷酸盐,以保持体内的平衡。当肾脏受损时,身体无法足够快地从血液中去除磷酸盐,这会导致

Hyperphosphatemia   英 /:haipəfɔsfə'ti:mjə/

释    义   n. [医] 血磷酸盐过多;[医] 高磷酸盐血

例    句   Objective: To investigate the clinical characteristics and mechanism of renal failure due to acute hyperphosphatemia following intravenous fructose diphosphate injection. 目的:探讨注射用二磷酸果糖致急性高磷血症的临床特点及诱发急性肾功能衰竭的发病机理。

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