谈营养指导对小儿肾病综合征的作用

Role of Nutrition Guidance on Nephrotic Syndrome in Children

目的为能使NS患儿得到及时的营养治疗,纠正疾病造成营养不良的影响,通过营养指导配合临床治疗,探讨符合小儿NS营养治疗方案。方法2002～2004年在本院普通儿科住院中的92例2～12岁住院患儿分为两组,一组为感染组46例,另一组为肾病组46例,同样让患儿自选食谱,不作任何干预,进行膳食调查,营养指导,回顾性分析。结果感染组除WBC升高外,其他无异常,肾病组患儿TP、ALB、TG、CHO有异常。两组患儿同时存在热量摄入严重不足的现象。结论热量不足是造成营养不良的主要原因,长期低热饮食,对小儿NS患儿危害非常大,提示在治疗小儿NS患儿应用药物治疗的同时不能忽视对患儿及家属正确的营养指导,只要患儿积极配合,提高良好的依从性才能逐步改善患儿营养不良状况,保证患儿正常发育。

Objective To explore a nutritional therapeutic protocol for nephrotic syndrome （NS） in children as to make the NS children receive timely nutrition therapy, correct the influence of malnutrition and cooperate clinical treatment by nutrition guidance, lethods 92 children aged from 2 to 12 years old in our hospital from 2002 to 2004 were randomly divided into nephrotic group （n=46） and infection group （n=46）. All children chose diet themselves and didn＇t receive any diet intervention; the investigation of dietary intakes and nutrition guidance was carried out. Results The value of white blood cell （WBC） increased and the others were normal in the infection group, then the value of total protein （TP）, albumin （ALB）, triglyceride （TG） and cholesterol （CHO） in nephrotic group was abnormal. The intake of energy of children was significantly lack in two groups. Conclusion The lack of energy is the main factor of malnutrition, long-term low heat intake is very harm for NS in children; so correct diet guidance is very important for nephrotic syndrome in children. The active cooperation of children and good compliance can perfect step by step the condition of malnutrition in children and ensure the normal development of children.