老年脑血管病住院患者营养风险筛查的临床研究

摘要

目的 采用营养风险筛查(NRS2002)法评价老年脑血管病住院患者的营养状况.方法 选择我院年龄≥65岁的321例脑血管病患者,脑梗死201例,脑出血18例,其他脑血管病102例.以年龄分为低年龄组(65~74岁)152例,中年龄组(75~84岁)139例,高年龄组(≥85岁)30例.采用NRS2002进行营养评价,使用美国国立卫生研究院卒中量表(NIHSS)进行评分,采用横断面研究,比较分析不同脑血管病分类、不同年龄组及不同NIHSS评分患者的营养状态.结果 患者营养风险发生率为70.4%,脑梗死和脑出血患者的营养状态明显低于其他脑血管病患者(P<0.01).与低年龄组比较,中年龄组和高年龄组营养风险发生率明显升高(P<0.01),NIHSS评分>8分者营养状况低于NIHSS≤8分者(P<0.01).结论 NRS2002评定老年脑血管病住院患者营养风险发生率高,尤其高龄、脑卒中和神经功能缺损严重患者,对老年脑血管病住院患者应进行早期NRS2002和有效的干预措施.%Objective To assess the nutrition in elderly cerebrovascular disease patients according to the NRS2002 .Methods Three hundred and twenty-one S&65 years old patients with cerebrovascular disease (201 with cerebral infarction ,18 with cerebral hemorrhage and 102 with other cerebrovascular diseases) admitted to our hospital were divided into 65 74 years old group (n= 152 ) ,75-84 years old group (n=139),and S&85 years old group (n=30) .Their nutrition was assessed according to the NRS2002 and scored according to the NIHSS .Different cerebrovascular disease classifications and NIHSS scores in different age groups were comparatively analyzed by cross-sectional study .Results The incidence of nutritional risk was 70.4% .The nutrition was significantly poorer in patients with cerebral infarction and hemorrhage than in those with other cerebrovascular diseases (P<0 .01) .The incidence of nutritional risk was significantly higher in 75 84 years old group and S&85 years old group than in 65 74 years old group (P<0 .01) .The nutrition was poorer in patients with their NIHSS score >8 than in those with their NIHSS score ≤8 (P<0 .01) .Conclusion The incidence of nutritional risk is high in elderly cerebrovas -cular disease patients according to the the NRS2002 ,especially in advance-aged patients with is-chemic stroke and severe nerve defect .The nutrition of cerebrovascular disease patients should be assessed as early as possible according to the NRS 2002 and effectively intervened .