摘要
目的:应用主观整体评估(Subjective global assessment,SGA)、全球领导人营养不良倡议(Global leadership initiative on malnutrition,GLIM)标准诊断采用营养风险筛查2002(Nutritional risk screening2002,NRS2002)量表筛查有营养风险的脑卒中康复期患者的营养不良发生情况,并比较其一致性。方法:选取2019年10月-2023年12月期间本院康复科等病区收治的39~90岁脑卒中康复期、并且经NRS2002筛查有营养风险的住院患者223例作为研究对象。分别采用GLIM标准、SGA标准评定患者营养不良情况。并分析其诊断诊断结果的一致性。结果:采用GLIM标准诊断营养不良200例,阳性率89.7%,不同年龄段、性别营养不良发生率差异无统计学意义(P>0.05)。采用SGA标准诊断营养不良195例,阳性率87.44%,不同年龄段营养不良发生率差异有统计学意义(P<0.01)。以GLIM为标准,SGA诊断营养不良的kappa值为0.613(P<0.01),灵敏度为96.0%,特异度为87.0%。结论:有营养风险的脑卒中康复期患者有必要尽早进行营养不良诊断,GLIM和SGA一致性良好,均可作为脑卒中康复期患者营养不良诊断工具。
Objective:To apply the subjective global assessment(SGA),the global leadership initiative on malnutrition,nutritional risk screening2002(NRS2002)was used to detect the incidence of malnutrition in stroke patients with nutritional risk during rehabilitation and compare the consistency of nutritional risk screening.Methods:From October 2019 to December 2023,223 inpatients aged 39 to 90 years old who were in the rehabilitation stage of stroke and had nutritional risk after screening by NRS2002 were selected as the study objects.GLIM and SGA criteria were used to evaluate the malnutrition of the patients.The consistency of diagnosis results was analyzed.Results:The GLIM standard was used to diagnose 200 cases of malnutrition,and the positive rate was 89.7%.There was no significant difference in the incidence of malnutrition among different age groups and genders(P>0.05).SGA criteria were used to diagnose 195 cases of malnutrition,the positive rate was 87.44%,and the incidence of malnutrition in different age groups was statistically significant(P<0.01).Using GLIM as the criterion,the kappa value of SGA in the diagnosis of malnutrition was 0.613(P<0.01),the sensitivity was 96.0%and the specificity was 87.0%.Conclusion:It is necessary to diagnose malnutrition as early as possible in stroke patients with nutritional risk during rehabilitation.GLIM and SGA are in good agreement and can be used as diagnostic tools for malnutrition in stroke patients during rehabilitation.
作者
苏金月
朱绍英
宋春蕾
李璞
Su Jin-yue;Zhu Shao-ying;Song Chun-lei;Li Pu(Department of Clinical Nutrition,Zhengzhou Traditional Chinese Medicine Hospital,Zhengzhou 450007,China)
出处
《四川生理科学杂志》
2024年第6期1355-1357,共3页
Sichuan Journal of Physiological Sciences
关键词
GLIM
主观整体评估
脑卒中
康复
营养不良
诊断工具
GLIM
Subjective holistic assessment
Stroke
Rehabilitation
Malnutrition
Diagnostic tool
