18例Prader-Willi综合症患儿膳食干预护理

Special diet for 18 children with Prader-Willi syndrome

目的 探讨、观察膳食干预、健康教育护理对18例Prader-Willi综合症（PWS）患儿体重、腰臀围改变以及糖、脂代谢的影响.方法 对18例PWS住院患儿进行膳食干预、健康教育3个月;对比干预前、干预后30天、60天、90天每2个时间点的体重、腰臀围、BMI以及糖化血红蛋白、血脂水平等数值.结果 18例PWS住院患儿给予营养膳食干预、健康教育3个月.比较干预后30天、60天、90天与干预前以及干预后60天与干预后30天、干预后90天与干预后30天;干预后90天与干预后60天的体重、腰围、臀围、BMI等数值,差异均有统计学意义（P＜0.001）;比较干预后30天、60天、90天与干预前以及干预后60天与干预后30天、干预后90天与干预后30天;干预后90天与干预后60天的糖化血红蛋白、血脂水平等数值,差异均有统计学意义（P＜0.05）.结论 膳食干预、健康教育护理能够遏制患儿体重快速增长的趋势,从而降低了因为肥胖而导致各种代谢并发症发生的危险.

Objective To explore the influence of special diet and health education nurse on the body weight,waistline,hipline,glycometabolism,and lipid metabolism in 18 children with Prader-Willi syndrome.Methods 18 children with Prader-Willi syndrome were enrolled into the study and took special diet and health education for 3 months.All the children＇s body weight,waistline,hipline,BMI （body mass index）,glycosylated hemoglobin level,and blood lipid level were tested on day 1,day 30,day 60,and day 90.And the data was analyzed by t-test.Results There were statistical differences in body weight,waistline,hipline,BMI,glycosylated hemoglobin level,and blood lipid level between day 90 and day 60 （P＜0.05）.Conclusions Special diet and health education for children with Prader-Willi syndrome can control the children＇s body weight so as to lower the incidence of complications caused by obesity.