Proteinmalnutrition bei Dialysepatienten – Diagnose und Therapie

Eine Proteinmalnutrition tritt bei 20–35 % aller Dialysepatienten auf und trägt zu einer erhöhten Mortalität bei. Die Ursachen können organische und psychische Störungen, eine inadäquate Dialysetherapie sowie eine unpassende medikamentöse Behandlung sein. Die Therapie der Proteinmangelernährung besteht in einer sorgfältigen Diätberatung unter Berücksichtigung der spezifischen Erfordernisse eines Dialysepatienten, in der Optimierung der Dialysebehandlung sowie in der enteralen oder parenteralen Ernährung mit speziellen Nährlösungen, die auf die Dialysetherapie ausgerichtet sind.

Protein malnutrition can be seen in 20–35 % of all chronic dialysis patients. It is one cause of the increased mortality of these patients. The causes of protein malnutrition are inadequate dialysis prescription, inadequate drug therapy, physiological and psychological disorders. The therapy of malnutrition consists of deliberate dietetic counselling, optimization of the dialysis therapy and enteral or parenteral nutrition with specific nutrients adapted to the conditions of the dialysis therapy.

Key words

protein malnutrition - inadequate dialysis prescription - inadequate drug therapy - dietetic counselling - enteral and parenteral nutrition

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