ICU高血压脑出血患者营养状况干预研究  

Nutritional Status of Hypertensive Intracerebral Hemorrhage in ICU

作　　者：李艳丽[1] 张丽[1] 周彦君[1] 杨丹[1] 孙久艳[1] 

机构地区：[1]中国石油天然气集团公司中心医院,河北廊坊065000

出　　处：《预防医学情报杂志》2017年第8期796-799,共4页Journal of Preventive Medicine Information

摘　　要：目的分析ICU高血压脑出血患者的营养状况,并针对患者情况采取相应防治措施。方法选取中国石油天然气集团公司中心医院ICU 2015-01/2016-08收治的高血压脑出血患者73例作为研究对象,对其营养状况进行调查,并采取干预措施,比较干预前后患者的营养指标。结果干预前患者营养不良比例98.63%,经过干预后,患者营养不良比例下降至2.74%;干预后患者的臂肌围、血清白蛋白、血糖、肱三头肌皮摺厚度、淋巴细胞总数分别为(21.76±1.54)cm、(41.05±0.65)g/L、(10.55±0.55)mmol/L、(12.89±0.24)mm、(1.05±0.11)109/L,各项指标均优于干预前,差异具有统计学意义(P<0.05)。结论根据ICU高血压脑出血患者营养状况给予相应的干预措施,能够改善患者身体营养情况,有助于病情恢复。Objective To analyze the nutritional status of patients with ICU hypertensive intracerebral hemorrhage, and to take appropriate control measures for patients. Methods 73 patients with hypertensive intracerebral hemorrhage were treated with ICU during 2015 -01 / 2016 -08, their nutritional status were investigated and the intervention measures were taken to compare the nutritional indexes of the patients before and after the intervention. Results The proportion of malnutrition were 98.63% before intervention, after that the proportion reduced to 2.74% ; after intervention, the total amount of MAMC, serum albumin, blood glucose, triceps skin thickness （TSF） and lymphocyte were （21.76 ± 1.54） cm, （41.05 ±0. 65） g/L, （10. 55 ±0. 55） mmol/ L, （12. 89±0. 24） mm, （1.05 ±0. 11） 10^9/L respectively, significantly better than before, with a statistically significant difference （P 〈 0.05 ）. Conclusion Aive the appropriate intervention measures according to ICU hypertensive intracerebral hemorrhage in patients with nutritional status help to improve the patient＇s body nutrition, and contribute to the recovery of the disease.

关 键 词：营养状况 高血压脑出血 ICU 鼻饲 

分 类 号：R544.1[医药卫生—心血管疾病]