| 陈琦琦,丁西平.老年共病患者营养相关指标变化及其临床意义[J].中国临床保健杂志,2024,(1):19-23. |
| 老年共病患者营养相关指标变化及其临床意义 |
| Changes in nutritional-related indices and their clinical significance in elderly patients with comorbidities |
| 投稿时间：2024-01-26 |
| DOI：10.3969/J.issn.1672-6790.2024.01.005 |
| 中文关键词: 营养状况 营养指标 老年共病 |
| 英文关键词: Nutritional status Nutritional indicators Elderly comorbidities 〖FL |
| 基金项目: |
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| 中文摘要: |
| 目的 通过系统地回顾老年住院患者营养状况的生物学标志,探讨老年共病患者营养评估相关指标的变化,分析其临床意义。方法 选取安徽医科大学附属省立医院老年医学科2017年1月至2023年6月224例老年共病患者为调查对象,利用微型营养评价法问卷对研究对象营养状况进行分类,分析与营养状况评估密切相关的多个生物学指标,评估营养状况的影响因素。结果 (1)老年共病患者人体及生化指标在营养良好、潜在营养不良及营养不良各组间差异有统计学意义(P<0.05)；(2)老年共病患者人体及生化指标在伴癌与不伴癌患者之间差异有统计学意义(P<0.05)。结论 (1)老年共病患者的营养状况评估受多种因素影响,除了小腿围、体重指数之外,血红蛋白和尿酸、尿素氮为独立影响因素。(2)伴癌老年共病组和不伴癌老年共病组之间的比较表明,查尔森合并症指数为独立危险因素。 |
| 英文摘要: |
| Objective To systematically review biomarkers of nutritional status in hospitalized elderly patients,with the goal of exploring changes in nutritional-related indicators in elderly patients with comorbidities and analyzing their clinical significance.Methods A total of 224 elderly patients with comorbidities were selected from the Department of Geriatric at Anhui Provincial Hospital Affiliated of Anhui Medical University between January 2017 and June 2023.Using the Mini Nutrition Evaluation Questionnaire to classify the nutritional status of research subjects,analyze multiple biological indicators closely related to nutritional status assessment,and evaluate the influencing factors of nutritional status.Results (1)Significant statistical differences were observed in the anthropometric and biochemical indicators among the groups with good nutrition,potential malnutrition,and malnutrition (P<0.05).(2)A significant statistical difference was found in the anthropometric and biochemical indicators between patients with and without cancer (P<0.05).Conclusions (1)The nutritional status of elderly patients with comorbidities is influenced by multiple factors.This study revealed some independent influencing factors,including calf circumference,BMI,hemoglobin,and uric acid.(2)The elderly patients with cancer had significantly higher hospitalization days,CCI scores,and total costs. |
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