第一次試案 1回食用簡易腎臓病食品交換表の利用についての臨床栄養調査
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概要
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The nephropathia is amalgamated from tha number of renal disease patients to which the dialysis treatment has been received and diabetes mellitus, and the diabetic nephropathy patient who shifts to the dialysis therapy is increasing in our country in recent years. On the other hand, a renal disease food exchange table for these patients practicable further more one and revisions have been repeated. However, it was shown that the use of "Renal disease food exchange table" of a present fixed turn was not necessarily easy in former investigation of authors. The cohabitation family and aged's patient, especially the use state were situations to which the meal therapy was not understood extremely low.Then, Henmi made the simple food of for food of one time of the first tentative plan exchange table to use everyone in 1994. Moreover, this tentative plan was used in the scene of aged's renal failure patient's medical practice in 1997, and the medical practice results to a daily meal of the dialysis enforcement patient of the kidney functions of the use state of this tentative plan and the biochemistry opinion, etc. were examined. In addition, the meal therapy was had to be practiced by especially doing the object person in 2003, doing enough informed consent actually, and using this "simple food exchange table" for the patient who received the kidney transplant to obtain agreement similarly. My did Question of Kao that the chronic renal failure patient was usually using a simple food exchange table for food. Moreover, the change in the patient's laboratory finding was examined. I want to assume the material to improve those results to a simple renal disease food exchange table of the second tentative plan. As a result, because the phase of eclipse was indicated once by the picture display when the chronic renal failure patient and the menu was set up for the kidney transplant patient, the understanding of the amount of the instruction was able to be facilitated comprehensible as a medium. Moreover, the fulfillment rates of each food groups of sugar and oils and fats assumed that the fulfillment of the amount of the instruction is difficult have increased in the kidney transplant patient, too. Moreover, the tendency that laboratory findings such as serum urea nitrogens (BUN) and creatinine (Cr) stabilize within the normal range, and are excellent as the amount of the instruction protein can be defended without difficulty in Rino and five months is looking. from an increase at easiness to use and the fulfillment rate in the kidney transplant patient. In addition, Kidney transplant patient accompanied serum urea nitrogen (BUN) which became the index of the kidney function and creatinine (Cr), and the value of hematocrit (Ht) which was the item of other anemia inspections and haemoglobins (Hb) rose in the renal transplantation lingua disease patient. And, weight increased, too and the improvement was seen. I wants to be going to design the improvement in the medical practice in a word to do the phosphorus potassium and the salt control, etc. repeatedly in the future and design the food exchange table of the second simpler tentative plan to the Moteru way by concreteness.
- 松山東雲女子大学・松山東雲短期大学の論文
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