基于食复理论探讨小儿过敏性紫癜阶梯饮食护理方案

Based on the Theory of Recurrence Caused by Dietary Irregularity:Step Scheme of Diet Nursing in Children with Henoch-Schonlein Purpura

小儿过敏性紫癜迁延难愈,易反复发作,可导致肾脏损伤的发生,如何预防过敏性紫癜复发是临床亟待解决的问题。研究表明,过敏性紫癜患儿愈后饮食不当是导致过敏性紫癜复发的高危因素之一,因此,加强过敏性紫癜的饮食护理至关重要。本文以食复理论为基础,探讨饮食与过敏性紫癜复发的相关性,并提出了一套切实可行的阶梯饮食护理方案:急性期避免进食油腻、发物、难消化等食物;紫癜稳定10d无新发皮疹后可按顺序逐渐增加食物种类;预防期在限制羊肉、海鲜、辛辣刺激饮食的同时保证营养均衡,以减少饮食不当引起的过敏性紫癜复发,同时又可兼顾患儿正常生长发育所需的营养。临床工作者可以参考使用这一方案并进一步进行验证。

Henoch-Schonlein Purpura (HSP) is difficult to cure and easy to recur, which can lead to kidney injury. How to prevent the recurrence of HSP is an urgent clinical problem. Studies have shown that improper dietary restriction after the recovery of HSP is one of the high-risk factors leading to the HSP recurrence, so diet nursing for HSP is very important. Based on the theory of recurrence caused by dietary irregularity, this paper explores the correlation between diet and the recurrence of HSP, and puts forward a feasible step scheme of diet nursing. For example, in acute stage, greasy, stimulating, and indigestible food should be avoided. After 10 d of stabilization without new purpura, food types can be gradually increased in sequence. During prophylactic period, nutritional balance should be ensured while restricting mutton, seafood, as well as spicy and stimulating diet, so as to reduce the recurrence of HSP caused by improper diet, and at the same time, the nutrition needed for normal growth and development of children should be taken into account. Clinic workers can refer to this scheme and take further clinical validation of it.