摘要
目的探讨缺血性脑卒中营养不良和预后不良的相关性。方法选择急性缺血性脑卒中患者82例,男性46例,女性36例,比较不同性别患者入院第1天和第(14±1)天营养指标,分析影响3个月预后的因素。结果入院第1天营养不良发生率为18.29%,入院第(14±1)天为30.49%(P<0.05)。与第1天比较,男性和女性患者第(14±1)天肱三头肌皮褶厚度、上臂肌肉周长和血清白蛋白均明显下降(P<0.05,P<0.01);男性较女性肱三头肌皮褶厚度和血清白蛋白下降明显,女性较男性上臂肌肉周长下降明显(P<0.01)。年龄(P=0.009)、入院时高血糖(P=0.038)、入院时美国国立卫生研究院卒中量表(NIHSS)评分(P=0.001)、入院时营养不良(P=0.018)是3个月预后不良的危险因素;入院时营养不良与年龄、入院时高血糖和入院时NIHSS评分均无相关性。结论缺血性脑卒中后营养状况呈恶化趋势;入院时营养不良是3个月预后不良的独立危险因素。
Objective To explore the correlation between malnutrition of patient with ischemic stroke and poor prognosis. Methods In 82 patients（46 males and 36 females） with acute ischemic stroke admitted to this hospital,nutritional indexes on the 1st day and （14±1） th day were compared between different sexes and prognosis-related influential factors were analyzed. Results The incidence of malnutrition on the first day after admission was 18.29% ,while that on （14±1） th day was 30.49% （P 〈 0.05）. Three nutrition indexes including brachial triceps skinfold thickness （TSF）, upper-arm muscle circumference （UAMC） and serum albumin （ALB） of the patients on the （14±1） th day after admission decreased significantly compared with those on the 1st day （P 〈 0.05 ,P 〈 0.01）. TSF and ALB decreased more significantly in males than in females,however,UAMC decreased more significantly in females than in males （P 〈 0.01）. Logistic regression analysis found that age on admission （P = 0. 009）, hyperglycemia on admission （P = 0. 038） ,NIHSS score （P = 0.001） and malnutrition on admission （P = 0. 018） were the risk factors for 3-month poor prognosis. Age on adimission was significantly positively correlated with hyperglycemia,and negatively correlated with NIHSS score. Conclusion Nutritional status after ischemic stroke shows a worsening trend. Malnutrition on admission is an independent risk factor for 3-month poor prognosis.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2010年第10期928-931,共4页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
脑缺血
卒中
营养不良
危险因素
营养支持
预后
病人入院
brain ischemia
stroke
malnutrition
risk factors
nutritional support
prognosis
patient admission
