系统性红斑狼疮患儿膳食质量调查  

Dietary quality survey of children with systemic lupus erythematosus

作　　者：程蕾 绳宇[1] Cheng Lei;Sheng Yu(School of Nursing,Peking Union Medical College,Beijing 100144,China)

机构地区：[1]北京协和医学院护理学院,北京100144

出　　处：《中华现代护理杂志》2024年第32期4448-4451,共4页Chinese Journal of Modern Nursing

摘　　要：目的调查系统性红斑狼疮患儿(SLE)的膳食情况并分析评价。方法采用便利抽样法,选取于2022年8月—2023年1月在北京协和医院儿科门诊及病房就诊的SLE患儿63例为研究对象。采用24 h膳食记录法结合称重法连续3 d收集患儿膳食资料,采用营养计算器软件进行能量及营养素分析。结果本研究最终共纳入63例SLE患儿。经统计分析,11~13岁组SLE患儿谷薯类摄入量为(409.14±132.84)g/d、畜禽肉类为(163.58±60.87)g/d、蔬菜类为(277.87±108.54)g/d,水产类为(27.16±19.17)g/d、蛋类为(33.59±15.40)g/d、奶类为(221.21±98.28)g/d、油类为(15.10±7.67)g/d;14~18岁组SLE患儿谷薯类摄入量为(514.46±148.86)g/d、畜禽肉类为(195.93±63.92)g/d、蔬菜类为(311.32±128.06)g/d、水果类为(207.69±139.14)g/d、水产类为(12.34±9.80)g/d、蛋类为(37.05±11.68)g/d、奶类为(95.04±84.39)g/d。SLE患儿能量摄入量为(2202.06±409.07)kcal/d。碳水化合物摄入量为(296.03±81.91)g/d;蛋白质摄入量为(93.99±15.54)g/d;脂肪摄入量为(71.48±16.12)g/d。与宏量营养素可接受范围(AMDR)相比较,本研究中69.8%(44/63)的SLE患儿的碳水化合物摄入量满足AMDR,92.1%(58/63)的患儿的蛋白质摄入量满足AMDR,55.6%(35/63)的患儿脂肪摄入量满足AMDR。结论SLE患儿均存在膳食种类摄入不均衡状况,其中禽畜肉类摄入量超标以及奶类摄入量不足更明显。患儿摄入总能量可满足生长发育需求量,宏量营养素中脂肪摄入量超出ADMR的患儿例数较多,后续有待开展SLE患儿膳食主成分分析研究,探索患儿饮食模式,进一步根据不同年龄段患儿膳食特点,进行有针对性的健康宣教,制定方案改善患儿膳食结构,延缓疾病进展,预防远期并发症。Objective To investigate and analyze the dietary status of children with systemic lupus erythematosus(SLE).MethodsA total of 63 children with SLE,who visited the outpatient clinic as well as inpatient department of Peking Union Medical College Hospital between August 2022 and January 2023,were selected using a convenience sampling method.Dietary data were collected using a 24-hour dietary recall method combined with the weighing method over three consecutive days.Nutritional intake and energy consumption were analyzed using nutrition calculator software.Results A total of 63 children with SLE were included in this study.Statistical analysis showed the daily intake of various food groups for the 11-13 age group was as follows:grains and tubers(409.14±132.84)g,meat(163.58±60.87)g,vegetables(277.87±108.54)g,aquatic products(27.16±19.17)g,eggs(33.59±15.40)g,dairy(221.21±98.28)g and oils(15.10±7.67)g.For the 14-18 age group,the intake was:grains and tubers(514.46±148.86)g,meat(195.93±63.92)g,vegetables(311.32±128.06)g,fruits(207.69±139.14)g,aquatic products(12.34±9.80)g,eggs(37.05±11.68)g,and dairy(95.04±84.39)g.The average energy intake for all SLE patients was(2202.06±409.07)kcal/d,with carbohydrate intake at(296.03±81.91)g/d,protein at(93.99±15.54)g/d,and fat at(71.48±16.12)g/d.Compared to the acceptable macronutrient distribution ranges(AMDR),69.8%(44/63)of SLE children had carbohydrate intake within the AMDR,92.1%(58/63)met the AMDR for protein intake,and 55.6%(35/63)met the AMDR for fat intake.Conclusions Children with SLE exhibit imbalances in dietary intake,characterized by excessive consumption of meat and insufficient intake of dairy products.While their total energy intake generally satisfies the needs for growth and development,a significant portion exceeds the AMDR for fat intake.Further research is needed to analyze their dietary patterns and main components.Based on the dietary characteristics of children at different age stages,targeted health education should be provided to optimize

关 键 词：系统性红斑狼疮 患儿 膳食结构 营养分析 

分 类 号：R725.9[医药卫生—儿科] R459.3[医药卫生—临床医学]