脑卒中患者医院获得性肺炎与临床营养学指标相关性分析
发布时间：2018-07-23 18:38
【摘要】：目的探讨脑卒中患者医院获得性肺炎(HAP)与临床营养学指标的相关性,以改善脑卒中患者的生活质量。方法选取医院确诊为脑卒中HAP患者80例,所有患者清晨空腹抽肘静脉血进行营养指标检测,比色法测定血红蛋白,速率散射比浊法测定血清白蛋白、转铁蛋白、前白蛋白和视黄醇结合蛋白。结果 35例患者发生HAP,发生率为43.8%;脑卒中患者HAP组与非HAP组临床营养学指标血红蛋白含量间的差异有统计学意义(t=4.479,P0.05);脑卒中患者HAP组与非HAP组临床营养学指标血清白蛋白含量之间的差异有统计学意义(t=6.643,P0.01);脑卒中患者HAP组与非HAP组临床营养学指标前白蛋白含量之间差异有统计学意义(t=5.677,P0.05);脑卒中患者HAP组与非HAP组临床营养学指标胃泌素含量之间的差异有统计学意义(t=6.835,P0.05)。结论营养学指标与脑卒中合并HAP之间存在相互关系,脑卒中患者住院期间,必须对患者的营养状况进行适时检测,并评估患者的营养状况指标参数,避免导致营养状况恶化,并对脑卒中合并HAP患者制定有针对性的干预措施,以提高患者的生存质量。
[Abstract]:Objective to investigate the correlation between (HAP) and clinical nutritional indexes in stroke patients, so as to improve the quality of life (QOL) of stroke patients. Methods A total of 80 patients with HAP diagnosed as stroke in hospital were selected. All the patients were examined for the nutritional indexes of elbow venous blood drawn on an empty stomach in the morning, hemoglobin by colorimetry, serum albumin and transferrin by rate scattering turbidimetry. Prealbumin and retinol binding protein. Results there were significant differences in hemoglobin content between HAP group and non-HAP group (P 0.05). The serum of clinical nutritional indexes in HAP group and non-HAP group was significantly different from that in stroke group (P 0.05), and the incidence rate was 43.8% (P < 0.05), and there was a significant difference in hemoglobin content between HAP group and non-HAP group (P 0.05). There was significant difference in albumin content between HAP group and non-HAP group (t = 6.643, P0.01), and there was significant difference in clinical nutrition index between HAP group and non-HAP group (P 0.05), and between HAP group and non-HAP group in stroke group, there was a significant difference in clinical nutrition index between HAP group and non-HAP group (P < 0.05), and there was a significant difference in serum albumin content between HAP group and non-HAP group (P < 0.05). The difference of gastrin content was statistically significant (t = 6.835 P 0.05). Conclusion there is a correlation between nutritional parameters and stroke complicated with HAP. In order to avoid the deterioration of nutritional status, the nutritional status of stroke patients should be measured and evaluated. In order to improve the quality of life of stroke patients with HAP, targeted interventions were made.
【作者单位】： 浙江医院神经内科;
【基金】：浙江省中医药科学研究基金项目(2012ZA012)
【分类号】：R563.1
本文编号：2140283
[Abstract]:Objective to investigate the correlation between (HAP) and clinical nutritional indexes in stroke patients, so as to improve the quality of life (QOL) of stroke patients. Methods A total of 80 patients with HAP diagnosed as stroke in hospital were selected. All the patients were examined for the nutritional indexes of elbow venous blood drawn on an empty stomach in the morning, hemoglobin by colorimetry, serum albumin and transferrin by rate scattering turbidimetry. Prealbumin and retinol binding protein. Results there were significant differences in hemoglobin content between HAP group and non-HAP group (P 0.05). The serum of clinical nutritional indexes in HAP group and non-HAP group was significantly different from that in stroke group (P 0.05), and the incidence rate was 43.8% (P < 0.05), and there was a significant difference in hemoglobin content between HAP group and non-HAP group (P 0.05). There was significant difference in albumin content between HAP group and non-HAP group (t = 6.643, P0.01), and there was significant difference in clinical nutrition index between HAP group and non-HAP group (P 0.05), and between HAP group and non-HAP group in stroke group, there was a significant difference in clinical nutrition index between HAP group and non-HAP group (P < 0.05), and there was a significant difference in serum albumin content between HAP group and non-HAP group (P < 0.05). The difference of gastrin content was statistically significant (t = 6.835 P 0.05). Conclusion there is a correlation between nutritional parameters and stroke complicated with HAP. In order to avoid the deterioration of nutritional status, the nutritional status of stroke patients should be measured and evaluated. In order to improve the quality of life of stroke patients with HAP, targeted interventions were made.
【作者单位】： 浙江医院神经内科;
【基金】：浙江省中医药科学研究基金项目(2012ZA012)
【分类号】：R563.1
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