老年住院病人的营养状况评价  

Evaluation of nutritional state of aged patients in hospital

作　　者：吴晓娜[1] 崔越[1] 杨咏涛[1] 

机构地区：[1]四川省医学科学院四川省人民医院临床营养科,四川成都610072

出　　处：《肠外与肠内营养》2013年第1期26-28,共3页Parenteral & Enteral Nutrition

摘　　要：目的:应用微型营养评价精法(MNA-SF)评价老年住院病人的营养状况,并比较不同营养状况三组病人间传统营养评价指标的差异。方法:随机选取234例老年住院病人,采用MNA-SF对其进行营养状况评价,同时测定传统营养指标,并进行分析。结果:老年住院病人营养不良、营养不良风险的发生率分别为12.39%和46.58%,而营养正常的病人仅占40.03%。对三种不同营养状况病人的传统营养指标分析后发现,三组病人的体重指数(BMI)、上臂围(AMC)、小腿围(CC)、握力、体力活动水平(ADL)、总蛋白(TP)、清蛋白(ALB)和血红蛋白(Hb)等差异均有显著性统计学意义(P<0.05);三组病人之间两两比较后,BMI、AMC、CC、握力、ADL、ALB均有显著性差异(P<0.05)。营养正常组病人TP和Hb明显高于营养不良组(P<0.05),但与营养不良风险组之间无显著性差异。营养不良风险组病人Hb也明显高于营养不良组(P<0.05)。结论:老年住院病人营养不良和营养不良风险的发生率较高,其类型多为蛋白质-热量营养不良。Objective： To evaluate the nutritional state of aged patients in hospital, and to compare difference of the traditional assessment index among patients with different MNA-SF scores. Methods： 234 aged patients were randomly selected to assess their nutritional states by MNA-SF, and to analyze the traditional nutritional assessment index. Results： Among the aged inpatients, the incidence of malnutrition, the risk of malnutrition and good nutritional status were 12. 39%, 46. 58% and 40. 03% respectively. BMI、AMC,CC,ADL,ALB and Hb were significant difference（P 〈0. 05 ）. The better nutritional status the patient had,the higher level of BMI, AMC, CC,ADL and ALB the patient got. Conclusion ： Incidence of malnutrition and the risk of malnutrition of the aged patients in hospital are comparatively high.

关 键 词：微型营养评价精法 老年人 营养状况 

分 类 号：R459.3[医药卫生—治疗学]