医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
33期
65-65
,共1页
儿童1型糖尿病%饮食%依从性
兒童1型糖尿病%飲食%依從性
인동1형당뇨병%음식%의종성
Insulin dependant diabetes mel itus%Nutritional therapy%Compliance
目的：探讨儿童1型糖尿病饮食干预方案及其依从性。方法选取2013年11月~2014年5月我院儿科收治的26例儿童期1型糖尿病,按照儿科学糖尿病章节推荐能量计算公式,比照中国居民膳食指南各营养素推荐量制定饮食方案。同时记录每日三餐前后及夜间血糖和饮食完成情况。结果26例患儿中14例严格执行糖尿病餐,均无明显饥饿感。12例未严格执行糖尿病餐,2例因为临床医生建议减少主食量；1例因为糖尿病餐量超过平时摄入量无法完成；3例并无明显饥饿感,自行添加饼干等零食导致血糖控制不佳；6例因为睡觉、玩耍或挑食,家长未让患儿按时完成糖尿病餐,而另外换用其他食物导致当餐胰岛素无法执行或血糖不理想。所有患儿经过糖尿病餐,调整胰岛素用量以及家长教育,血糖最终均控制理想。入院初空腹血糖(12.2±2.5)mmol/L,餐后血糖(24.7±3.8)mmol/L；综合治疗后空腹血糖(4.3±0.8)mmol/L,餐后血糖(6.7±0.7)mmol/L。结论饮食营养治疗方案对于低龄1型糖尿病儿童具有较好的临床适用性。制约饮食干预实施的主要因素是家长和患儿的依从性,其次是临床医生对饮食干预的正确认识。
目的：探討兒童1型糖尿病飲食榦預方案及其依從性。方法選取2013年11月~2014年5月我院兒科收治的26例兒童期1型糖尿病,按照兒科學糖尿病章節推薦能量計算公式,比照中國居民膳食指南各營養素推薦量製定飲食方案。同時記錄每日三餐前後及夜間血糖和飲食完成情況。結果26例患兒中14例嚴格執行糖尿病餐,均無明顯饑餓感。12例未嚴格執行糖尿病餐,2例因為臨床醫生建議減少主食量；1例因為糖尿病餐量超過平時攝入量無法完成；3例併無明顯饑餓感,自行添加餅榦等零食導緻血糖控製不佳；6例因為睡覺、玩耍或挑食,傢長未讓患兒按時完成糖尿病餐,而另外換用其他食物導緻噹餐胰島素無法執行或血糖不理想。所有患兒經過糖尿病餐,調整胰島素用量以及傢長教育,血糖最終均控製理想。入院初空腹血糖(12.2±2.5)mmol/L,餐後血糖(24.7±3.8)mmol/L；綜閤治療後空腹血糖(4.3±0.8)mmol/L,餐後血糖(6.7±0.7)mmol/L。結論飲食營養治療方案對于低齡1型糖尿病兒童具有較好的臨床適用性。製約飲食榦預實施的主要因素是傢長和患兒的依從性,其次是臨床醫生對飲食榦預的正確認識。
목적：탐토인동1형당뇨병음식간예방안급기의종성。방법선취2013년11월~2014년5월아원인과수치적26례인동기1형당뇨병,안조인과학당뇨병장절추천능량계산공식,비조중국거민선식지남각영양소추천량제정음식방안。동시기록매일삼찬전후급야간혈당화음식완성정황。결과26례환인중14례엄격집행당뇨병찬,균무명현기아감。12례미엄격집행당뇨병찬,2례인위림상의생건의감소주식량；1례인위당뇨병찬량초과평시섭입량무법완성；3례병무명현기아감,자행첨가병간등령식도치혈당공제불가；6례인위수각、완사혹도식,가장미양환인안시완성당뇨병찬,이령외환용기타식물도치당찬이도소무법집행혹혈당불이상。소유환인경과당뇨병찬,조정이도소용량이급가장교육,혈당최종균공제이상。입원초공복혈당(12.2±2.5)mmol/L,찬후혈당(24.7±3.8)mmol/L；종합치료후공복혈당(4.3±0.8)mmol/L,찬후혈당(6.7±0.7)mmol/L。결론음식영양치료방안대우저령1형당뇨병인동구유교호적림상괄용성。제약음식간예실시적주요인소시가장화환인적의종성,기차시림상의생대음식간예적정학인식。
Objective To explore the dietary intervene and compliance for children with type 1 diabetes mel itus. Methods 26 children with type 1 diabetes mel itus aged from 9 months to 10 years and 2 months who were hospitalized from 2013 Nov to 2014 may were selected. According to the equation (energy perday (kcal)=1000+(80~100)í100) and Chinese residents dietary guidelines, the individual nutritional therapy was made. The daily blood sugar level before and after meals were recorded, in addition to the diet completion and the reason. Results 14 cases of the total 26 strictly enforced the nutritional therapy without obvious hunger feelings. In the other 12 cases, 2 were advised by doctors to reduce the main meals to control the blood glucose level;1 felt too ful to finish it;the other 9 cases were al due to the noncompliance of the parents or the patients. After nutritional therapy and adjusting the insulin dosage, the fasting blood glucose and postprandial 2h blood glucose significantly decreased(12.2±2.5mmol/L vs 4.3±0.8 mmol/L, 24.7±3.8 mmol/L vs 6.7±0.7 mmol/L respectively). Conclusion Individual nutritional therapy is applicable for children with type 1 diabetes mel itus. The related nutritional education to the children and their parents, as wel as the doctors, is the most important factors to ensure the completion of the nutritional therapy.
