摘要
目的应用微型营养评定(MNA)方法来评价住院老年慢性肾功能不全病人的营养状况。方法对97名上海三所综合医院的住院老年慢性肾功能不全病人采用微型营养评定(MNA)问卷调查法进行营养评定,同时结合人体测量、生化检查、24小时回顾性膳食调查。结果①根据MNA评分:营养不良者21名(21.6%);营养不良危险者52名(53.6%);营养良好者24名(24.7%)。②轻度、中度、重度肾功能损害3组的营养不良及营养不良危险者发生率分别为70.7%、78.1%、100.0%。③MNA评价的营养状况结果有效的反应人体测量、生化检查、膳食情况的差异性。结论①住院老年慢性肾功能不全病人的营养不良发生率较高。②微型营养评定(MNA)方法应用在住院老年慢性肾功能不全病人的营养状况评价中是可行的。
Objectives To assess the nutritional status of hospitalized elderly patients in chronic renal failure by mini nutritional assessment（MNA）. Methods A total of 97 elderly patients fi＇om three integration hospitals in Shanghai with chronic renal failure were assessed of dietary by MNA questionnaire combined with anthropometric measurements, clinical and biochemical determination 24 hours review and survery. Results ①Aceording to MNA score： twenty-one （21.6%） were malnourished, fifty-two （53.6%） were at the risk of malnutrition, twenty-four （24.7%） were well nourished. ② Three groups of them mildly, morately and severely damaged in renal function were considered as malnutrition or at the risk of malnutrition： 70.7%, 78.1%, 100.0% respectively. ③There lied significant ,lifferences between MNA score and severe parameters anthropometric measurements and clinical biochemistry and survey dietary of 24 hours review. Conclusions ④There is a higher rate of morl＇,idity on malnutrition in hospitalized elderly patients with chronic renal tailure.⑤ Mini nutritional assessment （MNA） can be well used in hospitalized elderly patients with chronic renal failure.
出处
《老年医学与保健》
CAS
2006年第3期153-155,163,共4页
Geriatrics & Health Care
基金
上海市科学技术委员会科研计划项目(034119854)
关键词
营养评价
老年人
肾功能衰竭
慢性
营养状况
Nutritional assessment
Aged
Kidney failure, chronic
Nutritional status
