| 叶芬,江露,李燕,周翠玲,王益丽,吴琪芬.营养风险筛查法评估老年脑血管病住院患者营养状况及其影响因素分析[J].中国临床保健杂志,2023,26(5):691-694. |
| 营养风险筛查法评估老年脑血管病住院患者营养状况及其影响因素分析 |
| Evaluation of nutritional status by NRS-2002 and its influencing factors in elderly inpatients with cerebrovascular diseases |
| 投稿时间：2023-05-10 |
| DOI：10.3969/J.issn.1672-6790.2023.05.025 |
| 中文关键词: 脑血管障碍 营养状况 营养评价 危险因素 老年人 |
| 英文关键词: Cerebrovascular disorders Nutritional status Nutrition assessment Risk factors Aged 〖FL |
| 基金项目:浙江省丽水市科技计划项目(2019SJZC06) |
|
| 摘要点击次数: 320 |
| 全文下载次数: 335 |
| 中文摘要: |
| 目的 采用营养风险筛查法(NRS-2002)评估老年脑血管病住院患者营养状况及其影响因素。方法 回顾性分析2020年5月至2022年5月在丽水市中心医院住院的118例老年脑血管病患者病历资料,均在患者入院24 h内使用NRS-2002评估其营养状况,根据患者的NRS-2002评分将其分为营养风险组(NRS-2002≥3分,45例)与无营养风险组(NRS-2002＜3分,73例)；分析2组患者年龄、疾病类型、性别、营养状况指标[体重指数(BMI)、上臂肌围(AMC)、小腿围(CC)、白蛋白(Alb)、血红蛋白(Hb)、总胆固醇(TC)]间的差异,并应用logistic回归分析老年脑血管病住院患者营养状况的独立危险因素。结果 118例老年脑血管病患者NRS-2002评分为0~7(2.72±0.45)分,营养风险率为38.14%(45/118)。2组患者间年龄、疾病类型、BMI、AMC、CC、Alb、Hb比较,差异有统计学意义(P＜0.05)。2组患者间性别、TC比较,差异无统计学意义(P＞0.05)。logistic回归分析发现,年龄≥75岁、BMI＜18.5 kg/m2,是老年脑血管病住院患者营养风险的独立危险因素(P＜0.05)。结论 老年脑血管病患者存在营养风险,年龄≥75岁、BMI＜18.5 kg/m2的患者应重点关注。 |
| 英文摘要: |
| Objective To evaluate the nutritional status and its influencing factors in elderly inpatients with cerebrovascular diseases by Nutritional Risk Screening-2002 (NRS-2002).Methods A retrospective collection was performed on the clinical data of 118 elderly inpatients with cerebrovascular diseases in the hospital between May 2020 and May 2022.The nutritional status was evaluated by NRS-2002 within 24h after admission.According to NRS-2002 scores,they were divided into nutritional risk group (≥3 points,n=45) and non-risk group (<3 points,n=73).The differences in age,disease types,genders and nutritional status indexes [body mass index (BMI),arm muscle circumference (AMC),calf circumference (CC),albumin (Alb),hemoglobin (Hb),total cholesterol (TC)] between the two groups were analyzed.The independent risk factors of nutritional status were analyzed by logistic regression analysis.Results Among the 118 elderly patients with cerebrovascular diseases,NRS-2002 score,average score and nutritional risk rate were 0-7 (2.72±0.45) points and 38.14% (45/118),respectively.There were significant differences in age,disease types,BMI,AMC,CC,Alb and Hb between the two groups (P<0.05),but there was no significant difference in gender or TC (P>0.05).Logistic regression analysis showed that age ≥75 years and BMI<18.5 kg/m2 were independent risk factors of nutritional status in elderly inpatients with cerebrovascular diseases (P<0.05).Conclusions The nutritional risk is high in elderly inpatients with cerebrovascular diseases.Patients aged ≥75 years and with BMI <18.5 kg/m2 should be given special attention. |
|
查看全文
|
| 关闭 |
|
|
|