肾病综合征儿童膳食营养状况评价

【目的】 评价肾病综合征(nephrotic syndrome ,NS)儿童的膳食营养状况,以制订营养治疗方案。【方法】 用膳食调查、体检和生化分析对89例NS患儿(3~6岁)营养状况进行评价。【结果】 部分NS患儿能量供给不足,蛋白质摄入量和来源均不合理,41%患儿脂类摄入过高或过低,碳水化物在小龄组摄入不足,维生素A、钙、铁、锌摄入均不足;血清总蛋白、白蛋白普遍偏低,总胆固醇和甘油三酯偏高。【结论】 NS患儿营养素摄入不合理,存在蛋白质营养不良及脂质代谢紊乱, 应尽早、全面的给予科学营养,有利于疾病的康复。

Assessment of dietary and nutritional status in children with nephrotic syndrome

【Objective】 To make an ideal nutrition therapy protocol by assessing the dietary and nutritional status of children with nephrotic syndrome.【Method】 The nutritional status of 89 children(3~6 years old) who were diagnosed as nephrotic syndrome were evaluated by dietary survey,physical examination and biochemical assay.【Results】 The energy supply were not enough in part of the children and the intakes of carbohydrate were lower than the RNIs in younger groups.Dietary protein was not reasonable in both intake and its source.There were high or low intakes of lipids in part of the children(41%).The intakes were not enough apparently in vitamin A,calcium,iron and zinc in all children.It was lower in total serum protein and albumin but higher in total cholesterol and triglyceride than normal value in all children.【Conclusions】 The intakes of host of nutrients are not reasonable,protein malnutrition and metabolic disorder of lipids are serious in children with nephrotic syndrome.Therefore,a comprehensive nutrition intervention to them is conductive to the rehabilitation of the disease as soon as possible.