日本腎臓学会誌
Online ISSN : 1884-0728
Print ISSN : 0385-2385
慢性腎不全に対する低蛋白食療法の意義
第2報 死亡例の検討から
柵木 智男田中 茂樹亀卦川 良宣芳賀 茂佐々木 盛徳楠 信男
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1968 年 10 巻 6 号 p. 603-611

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Effects of dietary treatment on the clinical course of chronic renal failure were retrospectively studied in 11 fatal cases treated with low protein diet and 17 fatal cases treated with non-low protein diet. The low protein diet consists of lees than 30 g and the non-low protein diet, 50 g of protein per day. Results : 1. The uremic symptoms. such as anorexia, nausea, vomiting, headache, insomnia, fatigue, and dyspnea, did not appear or was lessend for long time by low protein regimen so that the terminal stage of the patients was more tranquil. 2. The incidence of bleeding tendency was significantly lower in the low protein diet group than in the non-low protein diet group. 3. The blood NPN level during the test period in the non-low protein diet group was averagely about 30 to 40 mg/dl higher than in the low protein diet group. Deterioration of renal function and decrease of blood hemoglobin were by far delayed in the to u protein diet group. 4. It was concluded that low protein diet in the trcatment of chronic renal failure prolonged the life.
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