老年脑卒中相关性肺炎与营养不良的研究进展  

Research progress on elderly stroke-associated pneumonia and malnutrition

作　　者：赵越[1] ZHAO Yue(Center of General Practice(Health Management Center),West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西医院全科医学中心(健康管理中心),四川成都610041

出　　处：《实用预防医学》2024年第4期511-512,F0003,共3页Practical Preventive Medicine

摘　　要：卒中相关性肺炎(stroke-associated pneumonia,SAP)是脑卒中常见并发症,具有起病急、病情重、变化快、患者预后差等特点,大大增加了患者致残率及死亡率。脑卒中发病后,患者机体自身分解代谢提高,极易出现营养风险、营养不良,可引发SAP,SAP又可加重营养不良形成恶性循环。通过科学的营养筛查工具分析老年脑卒中患者营养状况,并为其制定合理的营养支持有助于防治SAP。老年SAP的营养支持应尽早开始,且首选肠内营养方法,当肠内营养无法满足营养需求时需启动肠外营养,进而改善患者预后。Stroke-associated pneumonia(SAP)is a common complication of stroke,and has the characteristics of rapid onset,severe illness,rapid change and poor prognosis,which greatly increase the disability and mortality rates of patients.The patients’body catabolism is improved after stroke onset,hence it is easy to appear nutritional risk as well as malnutrition which can lead to SAP,and SAP can aggravate malnutrition and form a vicious cycle.It is helpful to analyze the nutritional status of elderly patients with stroke through scientific nutritional screening tools and develop reasonable nutritional support in preventing and treating SAP.Nutritional support for elderly SAP should be started as soon as possible,moreover,enteral nutrition is the preferred method.When enteral nutrition cannot meet nutritional requirements,parenteral nutrition should be adopted to improve the patients’prognoses.

关 键 词：老年 脑卒中 卒中相关性肺炎 营养不良 关系 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R563.1[医药卫生—临床医学]