PCI术后再狭窄与非再狭窄患者膳食对比调查
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摘要
目的:了解经皮冠状动脉介入治疗(Percutaneous Coronary Intervention,PCI)患者的膳食结构及营养素摄入情况,探究PCI术后患者膳食营养对再狭窄的影响,为PCI术后膳食精准指导提供依据。方法:采用方便抽样法,选择2016年10月～2017年10月在广东省某三级甲等医院成功行PCI术后造影复查的230例患者为研究对象,运用一般资料调查表、半定量食物频率问卷对PCI术后患者进行膳食结构调查。结果:PCI术后患者的膳食结构中畜禽类、鱼虾类、奶类、水果类偏低;再狭窄组患者水果、奶类、叶酸、Vit C的摄入量低于非再狭窄组;钠摄入量高于非再狭窄组。结论:PCI术后患者膳食结构不合理,存在叶酸、Vit C摄入不足和钠摄入过量等问题,需要给予更多的关注,预防术后再狭窄的发生。
Objective To understand the current levels of different food intake of patients with coronary heart disease after coronary stent. To explore the effect of dietary nutrition on restenosis after surgery, and provide basis for accurate dietary guidance after PCI. Method Using the convenience sampling method,we selected 230 patients who underwent postoperative follow-up angiography after undergoing PCI from October 2016 to October 2017 in a tertiary hospital in Guangdong Province. The general dietary questionnaire and semi-quantitative food frequency questionnaire were used to investigate the dietary pattern of patients after PCI. Results The dietary structure of patients after PCI was lower in livestock and poultry, fish and shrimps,milk,and fruits; the intake of fruit,milk, folic acid, and vitamin C in patients with restenosis was lower than that in patients without restenosis; The intake was higher than the non restenosis group. Conclusion The dietary structure of patients after PCI is irrational,there are problems such as insufficient intake of folic acid, vitamin C, and excessive sodium intake. It is necessary to pay more attention to prevent postoperative restenosis.
Objective To understand the current levels of different food intake of patients with coronary heart disease after coronary stent. To explore the effect of dietary nutrition on restenosis after surgery, and provide basis for accurate dietary guidance after PCI. Method Using the convenience sampling method,we selected 230 patients who underwent postoperative follow-up angiography after undergoing PCI from October 2016 to October 2017 in a tertiary hospital in Guangdong Province. The general dietary questionnaire and semi-quantitative food frequency questionnaire were used to investigate the dietary pattern of patients after PCI. Results The dietary structure of patients after PCI was lower in livestock and poultry, fish and shrimps,milk,and fruits; the intake of fruit,milk, folic acid, and vitamin C in patients with restenosis was lower than that in patients without restenosis; The intake was higher than the non restenosis group. Conclusion The dietary structure of patients after PCI is irrational,there are problems such as insufficient intake of folic acid, vitamin C, and excessive sodium intake. It is necessary to pay more attention to prevent postoperative restenosis.
引文
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[23]李明.饮食因素对高血压患者的影响[J].浙江预防医学,2004,16(11):54.
[24]郭莺,高鑫,王玉琦,等.冠脉内支架术患者住院费用影响因素及费用控制标准研究[J].中华医院管理杂志,2009,25(2):96.
[2]Dussaillant GR,Mintz GS,Pichard AD,et al.Small stent size and intimal hyperplasia contribute to restenosis:a volumetric intravascular ultrasound analysis[J].Journal of the American College of Cardiology,1995,26(3):720.
[3]Ilsley CDJ et al.Aust NZ J Med,1987,17,559.
[4]Briggs M R,Yokoyama C,Wang X,et al.Nuclear protein that binds sterol regulatory element of low density lipoprotein receptor promoter.I.Identification of the protein and delineation of its target nucleotide sequence[J].Journal of Biological Chemistry,1993,268(19):14490.
[5]Oster O,Prellwitz W.Selenium and cardiovascular disease[J].Biological Trace Element Research,1990,24(2):91.
[6]中华医学会心血管病分会,中华心血管病杂志编辑委员会.经皮冠状动脉介入治疗指南(2009)[J].中华心血管病杂志,2009,37(1):4.
[7]Walter Willett.营养流行病学[M].第2版.北京:人民卫生出版社,2006:283-284.
[8]王陇德.中国居民营养与健康状况调查报告之一[M].北京:人民卫生出版社,2005:116.
[9]刘国杰,林平,高学琴,等.黑龙江省氟中毒病区居民生活方式与氟骨症关系的调查[J].中华现代护理杂志,2013,19(21):2509.
[10]Mehran R,Dangas G,Abizaid AS,et al.Angiographic patterns of insent restenosis:classification and implications for longterm outcome[J].Circulation,1999,100(18):1872.
[11]杨月欣.中国食物成分表2004[M].北京:北京大学医学出版社,2007:75-213,306-311.
[12]中国营养学会.中国居民膳食指南[M].拉萨:西藏人民出版社,2008:100.
[13]中国营养学会.中国居民膳食营养素参考摄入量[M].北京:中国轻工业出版社,2001:59-64.
[14]王陇德.2002中国居民营养与健康状况调查综合报告[R].北京:人民卫生出版社,2005:75.
[15]吕忠美,董梅.冠心病患者对低脂饮食的认知及行为调查[J].护理学杂志,2008,23(5):28..
[16]Bolland MJ,Avenell A.Baron JA,et al.Effect of calcium supplements on risk of myocardial infarction and cardiovascular events:meta-analysis[J].BMJ,2010,341:c3691.
[17]吕树铮.冠心病的预防[J].中国医药导报,2009,6(3):7.
[18]陈江,章荣华,方越强等.膳食营养摄入与糖尿病、脑卒中和冠心病发病率的关系[J].营养学报,2010,32(4):331.
[19]Boushey C J,Beresford SA,Omens G S,et al.A quan titative assessment of plasm a homocysteine as risk factor for vascular disease[J].JAM A,2003,274(13):1049.
[20]Deloughery TG,Evans A,Sadeghi A,et al.Common mutation in methylenetetrahydro folate reductase.Correlation with homocysteine metabolism and late onset vascular disease[J].Circulation,1996,94(12):3074.
[21]Kojoglanian SA,Jorgensen MB,WoldeTsadik G,et al.Restenosis in Intervened Coronaries with Hyperhomocysteinemia(RICH)[J].American Heart Journal,2003,146(6):1077.
[22]Dziewierz A,Ciszowski K,Gawlikowski T,et al.Primary angioplasty in patient with st-segment elevation myocardial infarction in the setting of intentional carbon monoxide poisoning[J].J Emerg Med,2013,45(6):831.
[23]李明.饮食因素对高血压患者的影响[J].浙江预防医学,2004,16(11):54.
[24]郭莺,高鑫,王玉琦,等.冠脉内支架术患者住院费用影响因素及费用控制标准研究[J].中华医院管理杂志,2009,25(2):96.