食物交换份法在冠心病合并肥胖患者饮食教育中的运用.docVIP

食物交换份法在冠心病合并肥胖患者饮食教育中的运用 　　【摘要】 目的：研究食物交换份法在冠心病合并肥胖患者饮食教育中的运用效果。方法：选择2015年1-12月在南通第四人民医院诊断为冠心病的患者80例，采用随机抽样的方法分为试验组40例，对照组40例。对照组患者采取常规饮食教育，试验组患者在常规饮食教育的基础上，采用食物交换份法的饮食教育，对比两组患者在干预前及干预后6个月胆固醇（TC）、低密度脂蛋白胆固醇（LDL-C）、甘油三酯（TG）、体重、腰围、饮食依从性、心绞痛发生的频次及再入院的次数。结果：患者干预6个月，两组胆固醇、低密度脂蛋白、甘油三酯、体重指数比较差异均有统计学意义（P0.01）。干预6个月试验组饮食依从性优于对照组，两组比较差异有统计学意义（P0.01）。出院以后再入院的次数，试验组1次入院的5例，对照组1次入院12例，2次入院的2例，两组比较差异有统计学意义（P0.05），出院6个月内发生心绞痛例数的比较，试验组8例，对照组30例，差异有统计学意义（P0.01）。结论：对冠心病合并肥胖患者使用食物交换份法的饮食教育能增加患者的依从性，减少心绞痛发生频率及复发的次数。 　　【关键词】 食物交换份法； 冠心病； 肥胖； 饮食教育 　　中图分类号 R541.4 文献标识码 A 文章编号 1674-6805（2016）29-0003-03 　　The Application of Food Exchange Portion in Diet Education for Patients with Coronary Heart Disease and Obesity/GAO Yue-hong，CHEN Yun，ZHU Hai-yan.//Chinese and Foreign Medical Research，2016，14（29）：3-5 　　【Abstract】 Objective：To explore the effectiveness of proportion-exchanged diet applied in patients with coronary artery disease as well as obesity.Method：From January 2015 to December 2015，80 cases were randomly chosen in Nantong Fourth People’s Hospital，and they were randomly divided into the treatment group and the control group evenly，the 40 cases in the control group with conventional diet education，the 40 cases in the treatment group with proportion-exchanged diet on the basis of conventional diet education.The cholesterol level，low-density lipoprotein，triglyceride，body mass index，Waistline，diet independence，re-hospitalizations and angina cases before intervention and 6 months after intervention in two groups were compared.Result：The cholesterol level，low-density lipoprotein，triglyceride，body mass index in two group had significant differences（P0.01），diet independence 6 months after intervention in the treatment group was better than that in the control group（P0.01）.The number of hospital readmission 1 time in the treatment group was 5 cases，in the control group was 12 cases，2 times were 2 cases，there were statistically significant in two groups（P0.05），compared the angina pecto