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目的:评价查表型饮食疗法在Ig A肾病患者饮食管理中的应用效果。方法:将72例Ig A肾病患者随机分为实验组与对照组,实验组采用查表型饮食疗法制定食谱,只需要查表即可找到符合患者特点的每天食谱,对照组采用传统细算法,随访6个月,评价住院第1天、随访3个月、随访6个月饮食达标情况、SGA评分、血清白蛋白、肾小球滤过率等生理指标。结果:实验组与对照组比较,饮食达标较高,SGA评分较低,血清白蛋白、血红蛋白、24小时尿蛋白定量、BMI等生理指标得到改善。结论:查表型饮食疗法操作简便,可提高患者饮食治疗的依从性,改善患者营养状况。
PURPOSE: To evaluate the effect of diet-based diet-based therapy on diet management in patients with IgA nephropathy. Methods: Seventy-two patients with IgA nephropathy were randomly divided into experimental group and control group. In the experimental group, diet was used to make the diet. Only the questionnaire was needed to find the daily recipes according to the patient’s characteristics. Six months later, the first day of hospitalization, follow-up of 3 months, 6-month follow-up of diet compliance, SGA score, serum albumin, glomerular filtration rate and other physiological indicators. Results: Compared with the control group, the experimental group had higher compliance with diet, lower SGA score, and improved physiological indexes such as serum albumin, hemoglobin, 24-hour urinary protein and BMI. Conclusion: The diet-based diet is simple and easy to operate, which can improve the compliance of dietary therapy and improve the nutritional status of patients.