慢性阻塞性肺疾病缓解期患者膳食营养调查  

A dietary survey on out patients with stable chronic obstructive pulmonary disease

作　　者：顾宇彤[1,2,3] 蔡映云[1,2,3] 柳启沛[1,2,3] 陈文根 徐京[1,2,3] 雷光浦[1,2,3] 

机构地区：[1]上海医科大学附属中山医院呼吸内科 [2]上海医科大学营养和食品卫生教研室 [3]上海医科大学生物医学工程教研室

出　　处：《中国康复医学杂志》1999年第4期146-149,共4页Chinese Journal of Rehabilitation Medicine

摘　　要：目的：研究慢性阻塞性肺疾病（ＣＯＰＤ）缓解期患者膳食营养状况。方法：采用３天记录加询问法进行膳食调查。资料输入微机，采用笔者编制的“慢性阻塞性肺疾病患者营养状况和饮食指导软件”进行数据处理。结果：ＣＯＰＤ缓解期患者膳食中总热量、蛋白质、碳水化合物、锌、钙、硒、ＶｉｔＡ、ＶｉｔＢ１、ＶｉｔＢ２、ＶｉｔＣ摄入不足，其中低体重组较体重正常组摄入不足更为明显。三大产能营养素供能比例不够合理，碳水化合物比例过高（６０％）。三餐热量分配早餐偏低（２４％），晚餐偏高（３９％）。结论：饮食摄入不足是ＣＯＰＤ缓解期患者营养不良的重要原因之一，应引起重视。Objective: To study the diet intake on patients with stable chronic obstructive pulmonary disease. Method: Dietary survey was carried out in 76 stable COPD out patients by 3 days record and inquiry. Result: Daily food-intake (DFI) of energy, protein, carbohydrate, Calcium, Zinc, Selenium, Vitamin A, Vitamin B1, Vitamin B2 and Vitamin C were significantly insufficient compared with recommended daily amount(RDA) (P<0.001). The insufficiency of DFI in underweight group was more significant than in normal weight group (P<0.001). There were no significant difference in daily intake of fat, iron and Vitamin PP between DFI and RDA(P>0.05). DFI of Vitamin E was higher than RDA (P<0.001). The fraction of energy from protein, fat and carbohydrate was beyond reason. The energy derived from carbohydrate was 60% while those from protein and fat were 14% and 16%, respectively. The total amounts of intake of animal and bean protein were 48% of all protein intakes. The ratio of fatty acids in diet was basicall

关 键 词：慢性 阻塞性肺疾病 膳食调查 合理营养 缓解期 

分 类 号：R563[医药卫生—呼吸系统] R151.42[医药卫生—内科学]