《中国康复理论与实践》

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (9): 1079-1083.doi: 10.3969/j.issn.1006-9771.2019.09.017

• 临床研究 • 上一篇    下一篇

脑卒中康复期患者身体成分与膳食营养的相关性

郑欣, 刘志青, 史文丽   

  1. 中国康复研究中心北京博爱医院临床营养科,北京市 100068
  • 收稿日期:2019-04-21 修回日期:2019-05-27 出版日期:2019-09-25 发布日期:2019-09-25
  • 通讯作者: 史文丽，E-mail: shiwenlif366@126.com E-mail:shiwenlif366@126.com
  • 作者简介:郑欣(1969-)，女，汉族，河北阜平县人，博士，副主任医师，主要研究方向：糖尿病运动及营养康复。
  • 基金资助:
    中国康复研究中心科研课题专项基金项目(No. 2015ZX-22)

Correlation between Body Composition and Dietary Nutrition for Stroke Patients during Rehabilitation

ZHENG Xin, LIU Zhi-qing, SHI Wen-li   

  1. Department of Clinic Nutrition, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2019-04-21 Revised:2019-05-27 Published:2019-09-25 Online:2019-09-25
  • Contact: SHI Wen-li, E-mail：shiwenlif366@126.com E-mail:shiwenlif366@126.com
  • Supported by:
    Supported by China Rehabilitation Research Center Project (No. 2015ZX-22)

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摘要： 目的 观察住院脑卒中康复期患者的身体成分组成情况和膳食营养状况。 方法 2015年11月至2018年12月，顺序入组100例住院脑卒中康复患者，进行身体成分测定和膳食调查，并进行相关性分析。 结果 患者骨骼肌含量小于目标含量(t = -2.605, P < 0.05)，患侧上肢骨骼肌百分比小于健侧(t = -1.984, P < 0.05)；体质量、体质量指数、体脂百分比、腹部肥胖程度均显著高于目标值(t > 10.715, P < 0.001)。患者每日能量、碳水化合物、维生素B1、维生素B2、维生素E、钙、钾、锌、镁、硒的实际摄入量低于推荐量(|t| > 4.427, P < 0.05)；每日蛋白质、脂肪、胆固醇、烟酸、铁、磷、铜的实际摄入量高于推荐量(t > 2.122, P < 0.05)。身体成分指标与膳食中蛋白质、脂肪和康复时间相关(P < 0.05)。 结论 为住院脑卒中康复期患者提供营养干预计划时，要考虑其身体成分分布特点，适当降低脂肪摄入量，保证碳水化合物、蛋白质等营养素的充足摄入。

关键词: 脑卒中, 康复, 身体成分, 营养

Abstract: Objective To investigate the body composition and the nutrition of diet of the stroke inpatients during rehabilitation. Methods From November, 2015 to December, 2018, 100 stroke inpatients were sequentially recruited and measured the body composition, and the diets were investigated. The correlations among their body composition, dietary nutrition and rehabilitation time were analyzed. Results The skeletal muscle mass was less than the target quantity (t = -2.605, P < 0.05), the percentage of skeletal muscle of upper limbs was less in the affected side than in the unaffected side (t = -1.984, P < 0.05). The body mass, body mass index, body fat percentage and abdominal obesity were all significantly higher than the target quantity (t > 10.715, P < 0.001). The daily intake of energy, carbohydrates, vitamin B1, vitamin B2, vitamin E, calcium, potassium, zinc, magnesium and selenium were lower than the recommendation (|t| > 4.427, P < 0.05), but the daily intake of protein, fat, cholesterol, niacin, iron, phosphorus and copper were higher (t > 2.122, P < 0.05). There were correlation between body composition index and dietary protein, fat and rehabilitation time (P < 0.05). Conclusion It is necessary to reduce the fat intake and promote sufficient intake of carbohydrate, protein and so on, in nutritional intervention plans for hospitalized stroke rehabilitation patients.

Key words: stroke, rehabilitation, body composition, nutrition

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