【摘要】 目的通过记录饮食日记对腹膜透析患者的营养状况进行观察。方法选择腹膜透析患者80例,在护理人员和营养科医生的共同指导下记录3日饮食日记,根据患者的化验检查、饮食习惯制定相应的饮食治疗方案。随访6个月,观察到患者饮食中磷的摄入量显著下降,随访第1个月(801.5±188.2)mg/d,第6个月(698.7±175.7)mg/d(F=4.457,P<0.05);血液中血浆白蛋白上升,第1个月(34.62±3.28)g/L,第6个月(38.56±2.53)g/L (P<0.05),而血液中血磷浓度下降,随访第1个月(2.01±0.44)mmol/L,第6个月(1.51±0.23)mmol/L (P<0.05)。结果 /结论腹透患者应用饮食日记进行饮食干预能改善患者的营养状况,降低血磷。更多还原

【Abstract】 Objective To observe the nutritional status of peritoneal dialysis patients by recording dietary diary. Methods 80 cases of peritoneal dialysis patients were selected. Under the guidance of nursing staff and nutrition doctor, the diary of the 3 days diet was recorded. Based on the patients’ laboratory tests and dietary habits, appropriate dietary regimens were prepared. Follow-up 6 months, we found that the phosphorus intake was decreased significantly, the first month(801.5±188.2) mg/d,the sixth month(698.7±175.7) mg/d(F=4.457, P<0.05),And the blood phosphorus levels decreased, the first month(2.01±0.44) mmol/L,the sixth month(1.51±0.23) mmol/L(P<0.05). Result/Conclusion Peritoneal dialysis patients dietary diary diet intervention can improve the patient’s nutritional status, reduce blood phosphorus.更多还原