论文部分内容阅读
采用营养调查方法 ,对门诊 30例血透肾衰患者进行了调查 ,并对其进食中国营养平衡米膳改善Zn、Cu、Fe、Mn、Se不平衡进行了论证。结果表明 ,临床表现为面黄肌瘦 ,苍白 ,浮肿 ,疲劳 ,消瘦 ,虚弱 ,无力 ,食欲不振 ,恶心呕吐 ,头晕 ,皮肤瘙痒 ,肌肉震颤 ,手足麻木 ,无精神等明显的营养不良 ,平均体重 5 3 5kg ,皮脂厚度 1 1 2cm ,检验为血清总蛋白 67 31mg dL ,白蛋白 37 4 9mg dL ,RBC 2 4 1× 1 0 12 /L ;氮质血症 (x) :BUN 31mmol l,Cr 1 0 0 2 6μmol L。膳食中平均每人每日微量元素摄入量为 :Fe 1 7 99mg ,Zn 1 0 35mg ,Se 5 9 2 2 μg,Cu 1 71mg ,Mn3 95mg ,以肾衰患者RDA标准评价 ,Zn、Cu未达到RDA ,Fe ,偏高 ,Mn、Se达标。证明血透肾衰患者微量元素营养不平衡。RDA标准评价分别为 1 5 0 %、 69%、 1 1 8%、 86%、 1 5 8%。若改食中国营养平衡米膳 ,Fe、Zn、Se、Cu、Mn摄入量分别为 1 9 74mg、 2 4 64mg、 1 78mg、4 0 9mg ,达标率分别为 1 65 %、 1 64%、 1 5 7%、 89%、 1 64% ,则全部达标率近 90 %以上 ,且比原来膳食中元素平衡 ,证明营养平衡米膳的Fe、Zn、Se、Cu、Mn均与RDA标准模式平衡。因此 ,建议血透肾衰患者进食中国营养平衡米膳 ,可望改善其微量元素营养不平衡状况 ,提高生存质?
Nutritional survey was used to investigate 30 outpatients with hemodialysis and renal failure, and to demonstrate the imbalance of Zn, Cu, Fe, Mn and Se in improving nutrition balance of rice diet. The results showed that the clinical manifestations of facial skin pale, pale, edema, fatigue, weight loss, weakness, weakness, loss of appetite, nausea and vomiting, dizziness, itchy skin, muscle tremors, hand numbness, no mental disorders such as obvious malnutrition, the average weight of 5 3 5kg , Sebum thickness 112cm, test for serum total protein 67 31mg dL, albumin 37 4 9mg dL, RBC 2 4 1 × 1012 / L; azotemia (x): BUN 31mmol l, Cr 1 0 0 2 6 μmol L Dietary average per person per day intake of trace elements: Fe 1 7 99mg, Zn 1 35mg, Se 5 92 2 2, Cu 1 71mg, Mn3 95mg, with RDA standard renal failure patients evaluation, Zn, Cu not Reached RDA, Fe, high, Mn, Se compliance. Proved hemodialysis patients with micronutrient imbalance. The RDA criteria were respectively 150%, 69%, 118%, 86%, and 15%. The results showed that the intakes of Fe, Zn, Se, Cu and Mn were 1 974mg, 2 648mg, 1 78mg and 4 0 9mg, respectively, with the compliance rates of 1 65% and 1 64%, respectively, 15.7%, 89% and 164%, respectively, all of them reached nearly 90% compliance rate, which was more balanced than the original dietary elements. It was proved that Fe, Zn, Se, Cu, . Therefore, it is recommended that patients with hemodialysis and renal failure eat Chinese nutritional balance rice meal, is expected to improve its nutritional status of trace elements imbalance and improve quality of life?