MNA在炎症性肠病患者营养评价中的应用  

The nutritional status evaluation for the patients with inflammatory bowel disease by mini-nutritional assessment

作　　者：何文英[1] 张晓斌[1] 魏喜玲[1] 高荣花[1] 王燕[1] 

机构地区：[1]河北医科大学第二医院消化内科,石家庄市050000

出　　处：《河北医药》2010年第21期2977-2979,共3页Hebei Medical Journal

摘　　要：目的研究微型营养评定法(mini nutritional assessment,MNA)在炎症性肠病(inflammatorybowel disease,IBD)患者营养评价中的应用。方法收集2008年9月至2010年2月在我院就诊符合纳入标准的IBD患者,采用MNA方法评估IBD患者的营养状况,同时测定血清血红蛋白(Hb)、白蛋白(ALB)、前白蛋白(PA)、总淋巴细胞计数(TLC)、Ca2+、K+及Na+。结果符合纳入标准的共计85例,85例IBD患者中,MNA评价结果显示,营养不良率为43.53%,潜在营养不良为43.53%,营养正常为12.94%。年龄、TLC、PA、K+和Ca2+浓度在营养不良组、潜在营养不良组及营养正常组差异无统计学意义(P>0.05)。在营养不良组,Hb水平明显低于潜在营养不良组(P=0.003);而与营养正常组比较无明显区别(P=0.217)。ALB水平,营养不良组低于潜在营养不良组(P=0.001)及营养正常组(P=0.003)。营养不良组Na+水平明显低于潜在营养不良组(P=0.018),而与营养正常组之间差异无统计学意义(P=0.268)。结论 MNA适合于IBD患者的营养评价,可以为护理人员和临床医生给IBD营养不良患者进行营养支持提供可靠的依据,从而更好改善病情,并提高疗效。Objective To investigate the application of mini nutritional assessment （MNA） in patients with inflammatory bowel disease （IBD）.Methods The IBD patients who underwent examination and treatment from September 2008 to February 2010 were enrolled in the investigation.The patients＇ nutritional status was assessed by MNA.The levels of serum hemoglobin （Hb）,albnmin （ALB）,prealbumin （PA）,total lymphocyte count （TLC）,Ca2＋,K＋ and Na＋ were detected too.Results 85 patients （46 males and 39 females） were enrolled in the study according to the criteria.The MNA process classified 12.94% as adequate nutritional status group,43.53% as malnutrition risk group and 43.53% as frank malnutrition group,and there were no significant differences in patients＇ age,TLC,PA,K＋ and Ca2＋ Among the three groups（P〈0.05）.The Hb in frank malnutrition group was significantly decreased,as compared with that in malnutrition risk group （P〈0.01）.There were no significant differences between frank malnutrition group and adequate nutritional status group（P〈0.05）.The ALB in frank malnutrition group was obviously decreased,as compared with that in malnutrition risk group（P〈0.01）,and with that in adequate nutritional status group（P〈0.01）.The Na＋ levels in frank malnutrition group were significantly decreased,as compared with those in malnutrition risk group （P〈0.05）.However there were no significant differences in Na＋ levels between frank malnutrition group and adequate nutritional status group（P〈0.05）.Conclusion MNA is helpful for nurses and doctors to assess the nutritional status of patients with IBD effectively.

关 键 词：炎症性肠病 营养不良 微型营养评定法 

分 类 号：R459.3[医药卫生—治疗学]