糖尿病肾病及慢性肾病合并糖尿病病人的膳食调查分析  

Dietary investigation and analysis of the diabetic kidney disease and chronic kidney disease patients complicated with diabetes mellitus

作　　者：周子琪 柳园[2] 蔡倩 曾小庆[2] 付平[4] 胡雯[1,2] ZHOU Zi-qi;LIU Yuan;CAI Qian;ZENG Xiao-qing;FU Ping;HU Wen(West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu Sichuan 610041;Department of Clinical Nutrition,Kidney Research Institute,West China Hospital,Sichuan University,Chengdu Sichuan 610041;School of Public Health,Southwest Medical University,Luzhou Sichuan 646000,China;Division of Nephrology,Kidney Research Institute,West China Hospital,Sichuan University,Chengdu Sichuan 610041)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院,四川成都610041 [2]四川大学华西医院临床营养科,四川成都610041 [3]西南医科大学公共卫生学院,四川泸州646000 [4]四川大学华西医院肾脏病研究室/肾脏内科,四川成都610041

出　　处：《蚌埠医学院学报》2021年第1期107-110,共4页Journal of Bengbu Medical College

基　　金：四川省软科学研究计划项目(2017ZR0241)。

摘　　要：目的:调查糖尿病肾病(diabetic kidney disease,DKD)及慢性肾脏病(chronic kidney disease,CKD)合并糖尿病病人膳食摄入情况,为进一步营养治疗提供方向。方法:采用3 d 24 h膳食回顾法,纳入DKD及CKD合并糖尿病病人93例,通过食物成分表计算病人营养素摄入量,与我国卫生行业标准(WS/T 557-2017)CKD病人膳食指导所推荐的需要量比较。结果:纳入人群的蛋白质摄入明显低于推荐量(P<0.01),优质蛋白质摄入比例明显高于推荐值(P<0.01),能量摄入与推荐量差异无统计学意义(P>0.05)。不同性别病人的营养摄入情况差异均无统计学意义(P>0.05),不同CKD分期病人的优质蛋白质摄入比例间差异有统计学意义(P<0.05),透析与非透析病人的蛋白质摄入差异有统计学意义(P<0.05)。不同性别、CKD分期和是否透析病人的蛋白质摄入均明显低于推荐量(P<0.01);不同性别、是否透析和CKD 4、5期病人的优质蛋白摄入比例均明显高于推荐值(P<0.01),CKD 3期病人的优质蛋白摄入比例与推荐值差异无统计学意义(P>0.05)。结论:DKD及CKD合并糖尿病病人蛋白质摄入量低于指南推荐量,不同CKD分期和是否透析病人的蛋白质摄入情况存在差异,应加强病人营养教育,结合疾病阶段及治疗状态给予个体化膳食指导。Objective:To investigate the dietary intake in patients with diabetic kidney disease(DKD)and patients with chronic kidney disease(CKD)complicated with diabetes,and provide the direction for further nutritional therapy.Methods:The dietary survey was implemented using 3-day 24 h dietary review method.The nutrient intake in 93 patients with DKD and CKD complicated with diabetes were calculated using food composition table,and which was compared with China health industry standard(WS/T 557-2017)recommended dietary requirements for CKD patients.Results:The actual protein intake in the population was lower than that of recommended amount(P<0.01).The proportion of high-quality protein intake was significantly higher than that of the recommended value(P<0.01),and the difference between energy intake and recommended amount was not statistically significant(P>0.05).There was no statistical significance in the nutritional intake of patients with different genders(P>0.05),the difference of the proportion of high-quality protein intake among patients with different CKD stages were statistically significant(P<0.05),and the difference of protein intake between dialysis and non-dialysis patients was statistically significant(P<0.05).The protein intake in patients with different genders,CKD stages and dialysis status were significantly lower than those of recommended value(P<0.01).The proportion of high-quality protein intake in patients with different genders,dialysis status and CKD stage 4 and 5 were significantly higher than that of recommended value(P<0.01),and the difference between the proportion of high-quality protein intake and recommended value in patients with CKD stage 3 was not statistically significant(P>0.05).Conclusions:The protein intake of DKD patients and CKD patients complicated with diabetes are lower than that of recommended amount of the guideline.There are differences in protein intake among patients with different CKD stages and with or without dialysis.The nutrition education should be strengthened and i

关 键 词：糖尿病肾病 慢性肾脏病 糖尿病 营养摄入 膳食调查 

分 类 号：R587.2[医药卫生—内分泌] R692[医药卫生—内科学]