查表型饮食疗法在IgA肾病患者饮食管理中的应用

The application of chart diet therapy on nutrition management in patients with IgA nephropathy

目的:评价查表型饮食疗法在Ig A肾病患者饮食管理中的应用效果。方法:将72例Ig A肾病患者随机分为实验组与对照组,实验组采用查表型饮食疗法制定食谱,只需要查表即可找到符合患者特点的每天食谱,对照组采用传统细算法,随访6个月,评价住院第1天、随访3个月、随访6个月饮食达标情况、SGA评分、血清白蛋白、肾小球滤过率等生理指标。结果:实验组与对照组比较,饮食达标较高,SGA评分较低,血清白蛋白、血红蛋白、24小时尿蛋白定量、BMI等生理指标得到改善。结论:查表型饮食疗法操作简便,可提高患者饮食治疗的依从性,改善患者营养状况。

Objective： To evaluate the effect of chart diet therapy on nutrition management in patients with IgA nephropathy. Methods： Totally 72 IgA nephropathy patients were randomly divided into experimental group and control group. The experimental group used the chart diet therapy to create meal plans, while the control group used the traditonal calories calculation method following up in 6 month and evaluating the nutrition status, SGA, Alb, TG, CHOLand other physiological indexes at three different times, first day of admission, 3 month follow up and 6 month follow up. Result： Compared with control group, the nutrition statu, SGA, Alb, Hb, 24-UP, BMI of experimental group were better. Conclusion： The chart diet therapy was easy to operate, and could improve the compliance and nutrition status.