某三甲医院住院患者营养状况与老年共病相关性及其干预研究

发布时间：2018-05-11 18:54

本文选题：老年共病 + 营养风险　；参考：《青岛大学》2017年硕士论文

【摘要】：目的:对某三甲医院住院患者的营养状况及老年共病进行调查分析,探讨营养干预对老年共病的影响,为老年共病的营养干预治疗提供依据。方法:1.选取于2014年8月1日至2015年9月30日在某三甲医院住院的老年患者为研究对象,分析老年患者的疾病状况及营养风险。2.对老年共病患者按NRS2002评分分为有营养风险组与无营养风险组,对患者人体指标、化验指标、查尔斯评分(CCI评分)、改良老年疾病累计评分(MCIRS-G评分)进行统计分析,分析老年共病患者与营养风险的相关性。3.对存在营养风险的老年共病组患者进行为期2周的肠内营养干预,评价营养干预对老年共病的影响。结果:1.住院患者老年共病组患者营养风险发生率高于单一疾病组患者(P0.05)。2.人体指标比较:两组患者在年龄、体重指数、手握力、上臂围有统计学差异(P0.05),在身高、体重等项目上没有差异统计学意义(P0.05)。3.生化指标的比较结果显示:两组患者在白蛋白、前白蛋白等方面差异有统计学意义(P0.05),其余指标未见明显差异(P0.05)。4.NRS2002营养风险评分比较:两组患者营养风险评分存在统计学差异(P0.05)5.老年共病患者疾病数量受手握力、上臂围、NRS2002评分共同影响。6.对老年共病患者按是否发生营养风险分组,两组患者疾病分布有明显差异(P0.05)。7.改良老年累计评分(MCIRS-G评分)是老年共病患者营养风险的危险因素。8.对存在营养风险的老年共病患者行肠内营养干预,通过对患者治疗前后的人体指标、生化指标进行比较,改良老年疾病累计评分越低的患者干预前后存在统计学差异(P0.05)。结论:1.老年共病组的年龄、NRS2002评分低于老年单一疾病组患者,而老年共病组的BMI、手握力、上臂围、白蛋白、前白蛋白均低于单一疾病组。2.老年患者营养状况与共病状态有显著相关性。3.改良老年疾病累计评分法是患者发生营养风险的独立影响因素。4.老年共病状况影响营养干预的疗效。
[Abstract]:Objective: to investigate and analyze the nutritional status of hospitalized patients in a third Class A Hospital and to explore the effect of nutritional intervention on senile comorbid disease, so as to provide basis for nutritional intervention treatment of senile comorbid disease. Method 1: 1. From August 1, 2014 to September 30, 2015, elderly patients hospitalized in a third Class A Hospital were selected as the research objects. The disease status and nutritional risk of the elderly patients were analyzed. According to the NRS2002 score, the elderly comorbidity patients were divided into nutritional risk group and non-nutritional risk group. The patients' human body index, laboratory test index, Charles score and MCIRS-G score were statistically analyzed. Analysis of the relationship between the elderly patients with comorbid disease and nutritional risk. 3. 3. Two weeks of enteral nutrition intervention was performed to evaluate the effects of nutritional intervention on elderly patients with comorbid diseases. The result is 1: 1. The incidence of nutritional risk in inpatients with coexisting diseases was higher than that in patients with single disease. Comparison of human body indexes: there were significant differences in age, body mass index, grip strength and upper arm circumference between the two groups (P 0.05), but there was no significant difference in height, weight and other items. The comparison of biochemical indexes showed that there were significant differences in albumin and prealbumin between the two groups, but there was no significant difference in the other indexes. 4. Comparison of nutritional risk scores of NRS2002 between the two groups: there was significant difference in nutritional risk scores between the two groups (P 0.05). The number of diseases in elderly patients with syndromes was affected by the grip strength and the NRS2002 score of upper arm circumference. There was a significant difference in the distribution of diseases between the two groups according to the nutritional risk. Improved elderly cumulative score (MCIRS-G) was the risk factor of nutritional risk in elderly patients with comorbid disease. Enteral nutrition intervention was carried out in the elderly patients with nutritional risk. By comparing the human body indexes and biochemical indexes before and after treatment, the patients with lower cumulative score of improved senile diseases had statistical differences before and after intervention (P 0.05). Conclusion 1. The NRS2002 score of elderly patients with concomitant disease was lower than that of patients with single disease, while BMI, grip strength, upper arm circumference, albumin and prealbumin were lower than those of single disease group. There was a significant correlation between nutritional status and co-disease status in elderly patients. The improved accumulative score method of senile disease is an independent influencing factor of patients' nutritional risk. 4. 4. The condition of senile comorbidity affects the effect of nutritional intervention.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R459.3

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