首页|青中年患者低盐低脂饮食干预与脑卒中发生发展的关联分析

青中年患者低盐低脂饮食干预与脑卒中发生发展的关联分析

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目的 研究青中年患者低盐低脂饮食干预与脑卒中发生发展的关联性.方法 选取 2021 年 7 月至2023 年 2 月住院的青中年脑卒中患者共计 120 例作为研究对象,遵循随机化原则分为观察组和对照组,每组 60 例.对照组运用常规营养支持医护模式;观察组运用低盐低脂饮食指导的医护理念.入院时和干预结束后 3 个月,评估 2组患者的低盐低脂饮食指导指数.比较 2 组患者入院时、干预 3 周、干预结束时血红蛋白、血清白蛋白、总蛋白的变化.入院时、干预结束时、干预结束后 3 个月患者主观整体评估(PG-SGA)评分,并进行人体组成成分测定.结果 低盐低脂饮食指导干预结束后 3 个月与入院时比较,2 组自我保健、健康知识、生活方式、精神健康、生活技能及总分均有提高(P<0.05).观察组与对照组相比,自我保健、生活方式、精神健康及总分提高的程度更明显(P<0.05).2组从入院时干预 3 周、指导干预结束时血红蛋白、血清白蛋白、总蛋白呈明显下降趋势(P<0.05).交互效应均有统计学意义(P<0.05),遂认为不同组间血红蛋白、血清白蛋白、总蛋白变化的趋势受到观察时间的影响.2 组从入院时、干预 3 周、干预结束时PG-SGA得分呈明显下降趋势(P<0.05).交互效应有统计学意义(P<0.05),遂认为不同组间PG-SGA得分变化的趋势受到观察时间的影响.2 组从入院时干预 3 周、干预结束时体脂率、体重、BMI均呈明显下降趋势(P<0.05).交互效应均有统计学意义(P<0.05),认为不同组间体脂率、体重、BMI变化的趋势受到观察时间的影响.结论 对脑卒中采用低盐低脂饮食指导提高了患者的生活质量,具有良好、广阔的推广应用前景.
Correlation between low-salt low-fat diet and stroke in young and middle-aged patients
Objective To analyze the correlation of low-salt low-fat diet with the occurrence and development of stroke in young and middle-aged patients.Methods A total of 120 young and middle-aged stroke patients admitted to our hospital from July 2021 to February 2023 were selected as the research subjects.They were randomly divided into the observation group and control group,with 60 patients in each group.The conventional nutritional support medical care mode was applied to patients of control group,and those in the observation group were managed by the medical concept of low-salt low-fat diet guidance to evaluate the nutritional support.The low-salt low-fat diet guidance index was assessed on admission and 3 months after interventions.The changes in hemoglobin,serum albumin and total protein on admission,3 weeks of the interventions and at the end of the interventions were compared between the two groups.The Patient-Generated Subjective Global Assessment(PG-SGA)scores on admission,at the end of the interventions and 3 months after interventions were compared.The body composition was analyzed.Results The self-health care,health knowledge,lifestyle,mental health,life skills and total scores of the two groups were significantly improved after 3 months of the interventions than those on admission(P<0.05).The increases in the scores of self-health care,lifestyle,mental health and total scores were significantly pronounced in the observation group than those of control group(P<0.05).Hemoglobin,serum albumin and total protein of the two groups showed a significant downward trend from admission to 3 weeks of interventions and at the end of the interventions(P<0.05),with significant differences in the interaction effects(P<0.05).Therefore,the changing trends of hemoglobin,serum albumin,and total protein in the two groups were significantly influenced by the time points.The PG-SGA score showed a significantly decreased trend from admission to 3 weeks of interventions and at the end of the interventions in both groups(P<0.05),with significant differences in the interaction effects(P<0.05).It is suggested that the change in the PG-SGA score in the two groups were significantly influenced by the time points.The body fat rate,body weight and body mass index(BMI)showed a significantly decreased trend from admission to 3 weeks of interventions and at the end of the interventions in both groups(P<0.05),with significant differences in the interaction effects(P<0.05).It is suggested that the changes in the body fat rate,body weight and BMI in the two groups were significantly influenced by the time points.Conclusion A nutritional guidance of low-fat low-salt diet enhances the quality of life in young and middle-aged stroke patients,showing a broad prospect for clinical promotion and application.

young and middle-agedlow-salt low-fat dietstrokedisease developmentrelevance

王焦、贾丹

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102600 北京市大兴区人民医院神经内科

青中年 低盐低脂饮食 脑卒中 疾病发展 关联性

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(6)
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