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骨结核住院患者的营养风险筛查分析

Analysis of Nutritional Risk Screening in Hospitalized Patients with Bone Tuberculosis
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摘要 目的了解骨结核住院患者营养风险的发生情况,并明确营养风险发生率在性别及年龄间的差异。方法收集汇总2014年1月至2014年3月在首都医科大学附属北京胸科医院骨科住院的所有骨结核患者的基本信息,患者总数为64例,其中男31例,女33例。年龄范围19~87岁,19~岁年龄组20例,41~岁年龄组27例,61~87岁年龄组17例。并采用《营养风险筛查2002))(Nutritionalriskscreening2002,NRS2002)对患者进行营养风险筛查、评分(总分最高为7分,≥3分为存在营养风险)。用SPSS17.0软件进行统计学分析,用Spearman等级相关检验对营养风险评分和某些指标之间的相关性进行分析,以P〈0.05为有相关性。对不同性别、不同年龄的营养风险发生情况进行,检验,以P〈0.05为差异有统计学意义。结果营养风险评分与年龄[得分1~5分的年龄范围为(43.3±16.9)~(81.7±5.0)岁]、C反应蛋白(C-reactiveprotein,CRP)[得分1~5分的CRP值的范围为(16.0±16.2)~(21.1±18.2)mg/L]、住院天数[得分1~5分的住院天数范围为(17.7±7.4)~(21.3±12.1)d]呈正相关关系(r值分别为0.304、0.352、0.370,P值均〈0.05或〈0.01);营养风险评分与体质量[得分1~5分的体质量值的范围为(66.3±11.9)~(49.0±9.6)kg]、体质量指数(bodymassindex,BMI)[得分1~5分的BMI值的范围为(23.5±3.8)~(18.6±1.5)kg/m2]、血红蛋白(hemoglubin,rib)水平[得分1~5分的Hb值的范围为(134.3±18.5)~(106.3±24.8)g/L]、淋巴细胞比率(1ymphocyte%,L%)[得分1~5分的L%值的范围为(26.5±7.3)%~(17.3±4.0)%]、白蛋白(albumin,Alb)水平[得分1~5分的Alb值的范围为(41.5±3.3)~(31.4±4.7)g/L]、钠离子(Na+)水平[得分1~5分的Na+值的范围为(138.7±2.6)~(139� Objective To understand the basic situation of the nutritional risk occurrence in hospitalized Patients with bone tuberculosis, and the differences in the occurrence of nutrition risk rate among different sex and age. Methods We collected the basic information of all patients with bone tuberculosis in our hospital from January 2014 to March 2014.A total of 64 patients(male 31, female 33)were collected.The age ranges from 19 to 87 years old, 20 cases fell in 19 age group, 27 cases in 41 age group, 17 cases in 61-87 age group.We made nutritional risk screening and measurement based on NRS2002(the highest score is 7,≥ 3 is considered having nutritional risk).We used the Spearman' s rank correlation to measure nutritional risk and analyze the correlation among those indexes.The Chi square test is used for comparison and P〈0.05 is considered statistically significance. Results Nutritional risk score has a positive correlation with age (the age range was (43.3 ± 16.9) to (81.7 ± 5.0) years old when the score was between 1 to 5), CRP (the range of CRP was between (16.0 ± 16.2) to (21.1 ± 18.2) mg/L when the score was botween 1 to 5), days of hospitalization (the days of hospitalization was between (17.7 ± 7.4) to (21.3± 12.1) d when the score was between 1 to 5)(r=0.304, 0.352, 0.370 ; P〈0.05 or P〈0.01); Nutritional risk score has a negative correlation with body weight (the bodyweight was between (66.3 ± 11.9) to (49.0 ± 9.6) kg when the score was between 1 to 5), BMI (the BMI value was between (23.5 ± 3.8) to (18.6 ±1.5) kg/m2 when the score was between 1 to 5), Hb (the Hb value was between (134.3 ±18.5) to (106.3 ±24.8) g/Lwhen the score was between 1 to 5), L% (the L% value was between (26.5 ±7.3)% to (17.3 ± 4.0)% when the scorre was between 1 to 5), Alb (the Alb value was between (41.5± 3.3) to (31.4 ±4.7) g/L when the score was between 1 to 5), Na+(the Na+ value was between �
出处 《结核病与胸部肿瘤》 2014年第4期271-275,共5页 Tuberculosis and Thoracic Tumor
关键词 结核 骨关节 住院病人 营养状况 普查 Tuberculosis, osteoarticular Inpatients Nutritional status Mass screening
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