Tỉ lệ suy dinh dưỡng thấp còi và thực trạng chế độ ăn ở bệnh nhân bệnh thận mạn lọc thận nhân tạo chu kỳ ngoại trú tại Bệnh viện Nhi Đồng 2 năm 2023=Prevalence of stunting and dietary restriction status in chronic kidney disease patients receiving outpatient hemodialysis at Children’s Hospital 2 in 2023

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Tác giả: Ngọc Quý Hoàng, Quang Huỳnh Mai Mai, Hoàng Thanh Uyên Nguyễn, Mạnh Hưng Nguyễn, Thị Thu Hậu Nguyễn, Thị Hoài Phương Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.197-204

Bộ sưu tập: Metadata

ID: 243641

Thêm vào giỏ

Identify the rate of stunting among pediatric chronic kidney disease (CKD) patients undergoing hemodialysis at the Hemodialysis Unit of Children’s Hospital 2 (CH2) in 2023 and to assess the adherence to nutritional regimens of this patient group. Methods: A case series description with 38 pediatric CKD patients undergoing outpatient hemodialysis at CH2 in 2003. The rate of stunting was classified according to WHO 2007, and patients were required to keep a 2-day food diary on non-dialysis days to assess their dietary intake. Results: The rate of stunting was 73.7%, with moderate at 18.4% and severe at 55.3%. The rate of calcium intake from diet was 20%, while 48% was from supplements. 68.42% of them had a dietary regimen
the rate of full compliance with the diet was 5.3%, compliance with protein intake was 53.85%, with milk intake was 20.08%, and with salt-restricted diet was 46.15%. Conclusion: The rate of stunting was still high at 73.7%, mostly severe stunting. Calcium intake from the diet remains low and does not meet the children's needs
most of the calcium intake comes from supplements. The rate of children receiving dietary consultations is low. Compliance with dietary regimens is very low. Closer cooperation between nephrologists and nutritionists is needed to improve dietary regimens and nutritional status, particularly the stunting status, of this patient group.Xác định tỉ lệ suy dinh dưỡng (SDD) thấp còi ở bệnh nhi bệnh thận mạn (CKD) lọc thận nhân tạo chu kỳ tại phòng Chạy Thận Nhân Tạo, Bệnh viện Nhi Đồng 2 (BVNĐ2) năm 2023 và thực trạng tuân thủ chế độ dinh dưỡng. Đối tượng và phương pháp: Mô tả hàng loạt ca với 38 bệnh nhi CKD lọc thận nhân tạo (LTNT) chu kỳ ngoại trú tại BVNĐ2 năm 2023. Tỉ lệ thấp còi được phân loại theo WHO 2007 và bệnh nhân được ghi nhật kí chế độ ăn 2 ngày không chạy thận để đánh giá chế độ dinh dưỡng. Kết quả: Tỉ lệ SDD thấp còi: 73,7% với mức độ vừa: 18,4%
nặng: 55,3%. Đáp ứng nhu cầu canxi từ khẩu phần ăn: 20%
từ thuốc bổ sung: 48%. Có 68,42% trẻ có thực đơn chế độ ăn bệnh lý
tỉ lệ tuân thủ đầy đủ thực đơn là 5,3%, tuân thủ thực đơn về protein là 53,85%, tuân thủ thực đơn về sữa 20,08%, tuân thủ thực đơn về ăn lạt 46,15%. Kết luận: Tỉ lệ SDD thấp còi cao 73,7%, đa số là mức độ nặng. Canxi cung cấp từ khẩu phần ăn còn thấp
đa phần canxi cung cấp là từ thuốc. Tỉ lệ trẻ được khám và tham vấn về chế độ ăn bệnh lý thấp. Tỉ lệ tuân thủ thực đơn rất thấp. Cần phối hợp chặt chẽ giữa bác sĩ thận nhân tạo và chuyên viên dinh dưỡng để cải thiện chế độ ăn và tình trạng dinh dưỡng, thấp còi của nhóm bệnh nhân này.

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