摘要
目的分析2型糖尿病住院患者营养状况。方法采用定点连续抽样,对512例2糖尿病住院患者应用NRS 2002进行营养风险筛查,收集患者相关生化指标,分析住院患者营养风险的发生状况,与性别、年龄、病程和相关生化指标的关系。根据患者的BMI判定其营养状态,<18.5为营养不良,24≤BMI<28为超重,BMI≥28为肥胖。结果512例2型糖尿病住院患者的营养风险发生率为18.0%,营养不良、超重及肥胖的发生率分别为2.5%、35.9%和8.6%。营养风险发生率男性高于女性,但无统计学差异(P>0.05)。年龄≥70岁的2型糖尿病住院患者营养风险发生率高于<60岁和60~69岁两个年龄组(P<0.05)。营养风险发生率在病程上无差异(P>0.05)。与无营养风险的糖尿病住院患者相比,有营养风险患者的HbA1c、ESR、Bun、SCr偏高,差异有统计学意义(P<0.05)。以有营养风险的糖尿病住院患者为因变量,将年龄、HbA1c、ESR、Bun、SCr作为自变量,进行多因素Logistic回归分析,结果发现年龄和HbA1c是糖尿病住院患者发生营养风险的相关危险因素。结论2型糖尿病住院患者营养状况不容乐观,需加强营养筛查、评估、干预和健康教育。
Objective To analyze the nutritional status of hospitalized patients with type 2 diabetes mellitus(T2DM).Methods Using fixed-point continuous sampling,512 cases of hospitalized patients with T2DM were screened for nutritional risk by nutritional risk screening 2002(NRS 2002),and relevant biochemical indicators were collected to analyzed the relationship with gender,age,disease course and relevant biochemical indicators.The status of nutrition was determined by hospitalized patients’body mass index(BMI),with BMI<18.5 indicating malnutrition,24≤BMI<28 indicating overweight,and BMI≥28 indicating obesity.Results The incidence of nutritional risk in 512 hospitalized patients with T2DM was 18.0%,and the incidence of malnutrition,overweight,obesity were 2.5%,35.9%and 8.6%,respectively.The incidence of nutrition risk was higher in men than that in women,but there was no statistical difference(P<0.05).The incidence of nutrition risk in≥70 years hospitalized patients with T2DM was higher than that in two aged groups<60 years and 61~69 years(P<0.05).There was no difference in the incidence of nutrition risk in the course of disease(P<0.05).Compared with hospitalized patients with no nutrition risk diabetes,hospitalized patients with nutrition risk diabetes had higher HbA1c、ESR、Bun、SCr(P<0.05).With hospitalized T2DM with nutritional risk as the dependent variable,age,HbA1c、ESR、Bun、SCr as independent variables,multiariable Logistic regression analysis,the results showed that age and HbA1c are the related risk factors for nutrition risk of T2DM.Conclusion The nutritional status of T2DM is not optimistic;therefore it is necessary to strengthen nutrition risk screening,evaluation,intervention and health education.
作者
施汉平
梁肖肖
SHI Han-ping;LIANG Xiao-xiao(Department of Nutrition,Chongming Branch of Xinhua Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai 202150,China)
出处
《肿瘤代谢与营养电子杂志》
2019年第3期342-345,共4页
Electronic Journal of Metabolism and Nutrition of Cancer
