本文選題：住院患者 + 營養(yǎng)調(diào)查�。� 參考：《河北醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的:了解住院患者膳食營養(yǎng)素攝入情況,為存在營養(yǎng)風(fēng)險病人的營養(yǎng)支持治療提供科學(xué)依據(jù)。方法:對保定市某醫(yī)院2013年160名住院患者進(jìn)行一般情況和膳食調(diào)查。其中神經(jīng)內(nèi)科30人,心內(nèi)科30人,消化內(nèi)科30人,神經(jīng)外科20人,血液科30人,腫瘤外科20人。排除禁食、應(yīng)用腸內(nèi)腸外營養(yǎng)支持的病人。調(diào)查內(nèi)容包括:身高、體重和疾病情況;連續(xù)三天膳食攝入情況。計算每個調(diào)查對象每日能量和營養(yǎng)素的攝入量,及占建議攝入量的百分?jǐn)?shù)。結(jié)果:1住院患者總體的BMI平均值在正常范圍,脂肪供能比超標(biāo),碳水化合物供能比較低,鈣、維生素A、維生素C和膳食纖維的攝入量嚴(yán)重不足。2神經(jīng)內(nèi)科和心內(nèi)科膽固醇和鈣攝入太少。神經(jīng)內(nèi)科和心內(nèi)科攝入量超過130%的營養(yǎng)素是維生素E,低于70%的營養(yǎng)素有:鈣、鐵、鎂、維生素A、維生素B1、維生素B2。3消化內(nèi)科能量、蛋白質(zhì)攝入不足。超過建議攝入量130%的營養(yǎng)素有:能量、蛋白質(zhì)、膳食纖維、鈣、鎂、維生素B1、維生素B2、維生素C。結(jié)論:1住院患者總體營養(yǎng)狀況一般,消化內(nèi)科、腫瘤外科患者營養(yǎng)不良現(xiàn)象普遍存在,應(yīng)及時進(jìn)行營養(yǎng)風(fēng)險篩查并有針對性地給予營養(yǎng)支持,以糾正營養(yǎng)不足等問題。2各科室能量和營養(yǎng)素攝入情況不同,膳食結(jié)構(gòu)不合理。住院患者應(yīng)食物多樣化,避免飲食誤區(qū)。3住院患者總能量和蛋白質(zhì)應(yīng)根據(jù)實(shí)際情況適當(dāng)增加,注意控制脂肪攝入量,選擇合適的食物補(bǔ)充蛋白質(zhì)。鈣、鐵、鎂、膳食纖維、維生素維生素A、維生素C、維生素B1、維生素B2等普遍攝入不足,應(yīng)適當(dāng)相應(yīng)食物的攝入量。
[Abstract]:Objective: to investigate dietary nutrient intake of inpatients and provide scientific basis for nutritional support therapy of patients with nutritional risk. Methods: 160 inpatients in a hospital in Baoding city in 2013 were investigated. There were 30 patients in neurology, 30 in cardiology, 30 in digestive medicine, 20 in neurosurgery, 30 in hematology and 20 in oncology. Exclude fasting and use parenteral nutrition support in patients. The survey included height, weight and disease, and dietary intake for three consecutive days. The daily energy and nutrient intake and the percentage of recommended intake were calculated. Results the average of total BMI of the hospitalized patients was in the normal range, fat energy supply ratio exceeded the standard, carbohydrate energy supply was relatively low, calcium, calcium, Vitamin A, vitamin C and dietary fiber intake are severely under.2 intake of cholesterol and calcium in neurology and cardiology is too low. More than 130% of the intake of neurology and cardiology is vitamin E, and less than 70% of the nutrients are: calcium, iron, magnesium, vitamin A, vitamin B1, vitamin B 2.3, internal medicine energy, and inadequate intake of protein. Nutrients in excess of the recommended intake of 130% are: energy, protein, dietary fiber, calcium, magnesium, vitamin B1, vitamin B2, vitamin C. Conclusion the nutritional status of the hospitalized patients is general, malnutrition is common in the patients of digestive department and tumor surgery, nutrition risk screening should be carried out in time and nutritional support should be given. The energy and nutrient intake of different departments were different, and the dietary structure was unreasonable. The inpatients should diversify their food, avoid the mistake of diet. 3 the total energy and protein should be increased according to the actual situation, the fat intake should be controlled, and the appropriate food should be selected to supplement protein. Calcium, iron, magnesium, dietary fiber, vitamin A, vitamin C, vitamin B1, vitamin B2 are generally inadequate.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R197.32;R459.3

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