模块化膳食干预对急诊PCI患者便秘及血脂水平的影响
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摘要
目的探讨模块化膳食营养干预对急性心肌梗死(AMI)行急诊PCI术患者便秘和血脂水平的影响。方法将在CCU住院接受急诊PCI术的166例AMI患者按时间段分为对照组和观察组各83例。对照组行常规低盐低脂饮食指导;观察组针对急诊PCI术患者设计模块化膳食清单管理患者日常饮食。结果观察组住院期间日摄入能量及便秘发生率显著少于和低于对照组(均P<0.01),术后第7天、出院1个月时TG、LDL-C及HDL-C值显著优于对照组(P<0.05,P<0.01)。结论对AMI行急诊PCI术患者设计和应用模块化膳食营养干预可以有效改善其血脂水平,减少便秘发生。
Objective To explore the effect of modularized dietary intervention on constipation and lipid level in patients undergoing primary PCI.Methods A total of 166 patients with acute myocardial infarction undergoing primary PCI were divided into a control group and an observation group chronologically,with 83 in each.The control group was given conventional education about low-salt and low-fat diet,while the observation group received modularized dietary instruction list to manage patients' daily intake.Results The daily energy intake and incidence of constipation was significantly less/lower in the observation group than that in the control group during hospital stay(P<0.01 for both).The levels of triglyceride and low-density lipoprotein cholesterol were significantly lower,whereas the high-density lipoprotein cholesterol level was significantly higher in the observation group compared with the control group at postoperative 7 th day and at 1 month after discharge(P<0.05,P<0.01).Conclusion Modularized dietary intervention can ameliorate lipid level and reduce constipation in AMI patients undergoing primary PCI.
Objective To explore the effect of modularized dietary intervention on constipation and lipid level in patients undergoing primary PCI.Methods A total of 166 patients with acute myocardial infarction undergoing primary PCI were divided into a control group and an observation group chronologically,with 83 in each.The control group was given conventional education about low-salt and low-fat diet,while the observation group received modularized dietary instruction list to manage patients' daily intake.Results The daily energy intake and incidence of constipation was significantly less/lower in the observation group than that in the control group during hospital stay(P<0.01 for both).The levels of triglyceride and low-density lipoprotein cholesterol were significantly lower,whereas the high-density lipoprotein cholesterol level was significantly higher in the observation group compared with the control group at postoperative 7 th day and at 1 month after discharge(P<0.05,P<0.01).Conclusion Modularized dietary intervention can ameliorate lipid level and reduce constipation in AMI patients undergoing primary PCI.
引文
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[10]吴沁,陈晓晓,杜亚平.生活方式干预对血脂异常患者血脂指标影响的Meta分析[J].中华老年医学杂志,2017,36(5):583-588.
[11]何水波,茹松伟,张斌,等.饮食中增加多不饱和脂肪酸对冠状动脉硬化性心脏病患者的影响[J].中国心血管杂志,2011,16(6):456-459.
[12]陆红,朱世论.以家庭为基础的心血管自我管理项目对老年心肌梗死患者生活质量、心理状态以及生理功能的影响[J].中国心血管病研究,2017,15(5):440-445.
[13]张杨,田竟,张红梅.智能手机应用程序在经皮冠状动脉介入治疗患者术后随访管理中的应用[J].护理学杂志,2017,32(17):93-96.
[2]许志远,张坚.膳食胆固醇与心血管疾病风险[J].中华健康管理学杂志,2017,11(2):183-188.
[3]Baigent C,Keech A,Kearney P M,et al.Efficacy and safety of cholesterol-lowering treatment:prospective meta-analysis of data from 90,056 participants in 14 randomised trials of statins[J].Lancet,2005,367(9509):469-470.
[4]诸骏仁,高润霖,赵水平,等.中国成人血脂异常防治指南(2016年修订版)[J].中国循环杂志,2016,16(10):7-28.
[5]孙潇泱,成殷勤,李洪彬,等.短期极低热量饮食干预对住院超重及肥胖患者的疗效及患者依从性[J].中国临床医学,2018,25(2):217-220.
[6]李萍,张隆,刘芳,等.三种脂肪酸饮食对糖耐量正常人群胰岛素敏感性的影响[J].中国老年学杂志,2011,31(24):4753-4755.
[7]王艳秋,赵秋利,刘爽,等.心脑血管疾病患者相关膳食评价方法的研究进展[J].护理学杂志,2015,30(21):101-105.
[8]沈卫峰,张奇,张瑞岩.2015年急性ST段抬高型心肌梗死诊断和治疗指南解析[J].国际心血管病杂志,2015,42(4):217-219.
[9]中国康复医学会心血管病专业委员会.心血管疾病营养处方专家共识[J].中华内科杂志,2014,53(2):124-130.
[10]吴沁,陈晓晓,杜亚平.生活方式干预对血脂异常患者血脂指标影响的Meta分析[J].中华老年医学杂志,2017,36(5):583-588.
[11]何水波,茹松伟,张斌,等.饮食中增加多不饱和脂肪酸对冠状动脉硬化性心脏病患者的影响[J].中国心血管杂志,2011,16(6):456-459.
[12]陆红,朱世论.以家庭为基础的心血管自我管理项目对老年心肌梗死患者生活质量、心理状态以及生理功能的影响[J].中国心血管病研究,2017,15(5):440-445.
[13]张杨,田竟,张红梅.智能手机应用程序在经皮冠状动脉介入治疗患者术后随访管理中的应用[J].护理学杂志,2017,32(17):93-96.