發(fā)布時間：2018-07-23 18:38

【摘要】：目的探討腦卒中患者醫(yī)院獲得性肺炎(HAP)與臨床營養(yǎng)學(xué)指標(biāo)的相關(guān)性,以改善腦卒中患者的生活質(zhì)量。方法選取醫(yī)院確診為腦卒中HAP患者80例,所有患者清晨空腹抽肘靜脈血進行營養(yǎng)指標(biāo)檢測,比色法測定血紅蛋白,速率散射比濁法測定血清白蛋白、轉(zhuǎn)鐵蛋白、前白蛋白和視黃醇結(jié)合蛋白。結(jié)果 35例患者發(fā)生HAP,發(fā)生率為43.8%;腦卒中患者HAP組與非HAP組臨床營養(yǎng)學(xué)指標(biāo)血紅蛋白含量間的差異有統(tǒng)計學(xué)意義(t=4.479,P0.05);腦卒中患者HAP組與非HAP組臨床營養(yǎng)學(xué)指標(biāo)血清白蛋白含量之間的差異有統(tǒng)計學(xué)意義(t=6.643,P0.01);腦卒中患者HAP組與非HAP組臨床營養(yǎng)學(xué)指標(biāo)前白蛋白含量之間差異有統(tǒng)計學(xué)意義(t=5.677,P0.05);腦卒中患者HAP組與非HAP組臨床營養(yǎng)學(xué)指標(biāo)胃泌素含量之間的差異有統(tǒng)計學(xué)意義(t=6.835,P0.05)。結(jié)論營養(yǎng)學(xué)指標(biāo)與腦卒中合并HAP之間存在相互關(guān)系,腦卒中患者住院期間,必須對患者的營養(yǎng)狀況進行適時檢測,并評估患者的營養(yǎng)狀況指標(biāo)參數(shù),避免導(dǎo)致營養(yǎng)狀況惡化,并對腦卒中合并HAP患者制定有針對性的干預(yù)措施,以提高患者的生存質(zhì)量。
[Abstract]:Objective to investigate the correlation between (HAP) and clinical nutritional indexes in stroke patients, so as to improve the quality of life (QOL) of stroke patients. Methods A total of 80 patients with HAP diagnosed as stroke in hospital were selected. All the patients were examined for the nutritional indexes of elbow venous blood drawn on an empty stomach in the morning, hemoglobin by colorimetry, serum albumin and transferrin by rate scattering turbidimetry. Prealbumin and retinol binding protein. Results there were significant differences in hemoglobin content between HAP group and non-HAP group (P 0.05). The serum of clinical nutritional indexes in HAP group and non-HAP group was significantly different from that in stroke group (P 0.05), and the incidence rate was 43.8% (P < 0.05), and there was a significant difference in hemoglobin content between HAP group and non-HAP group (P 0.05). There was significant difference in albumin content between HAP group and non-HAP group (t = 6.643, P0.01), and there was significant difference in clinical nutrition index between HAP group and non-HAP group (P 0.05), and between HAP group and non-HAP group in stroke group, there was a significant difference in clinical nutrition index between HAP group and non-HAP group (P < 0.05), and there was a significant difference in serum albumin content between HAP group and non-HAP group (P < 0.05). The difference of gastrin content was statistically significant (t = 6.835 P 0.05). Conclusion there is a correlation between nutritional parameters and stroke complicated with HAP. In order to avoid the deterioration of nutritional status, the nutritional status of stroke patients should be measured and evaluated. In order to improve the quality of life of stroke patients with HAP, targeted interventions were made.
【作者單位】： 浙江醫(yī)院神經(jīng)內(nèi)科;
【基金】：浙江省中醫(yī)藥科學(xué)研究基金項目(2012ZA012)
【分類號】：R563.1

【相似文獻】

相關(guān)期刊論文 前9條

1 鍾南山 ,王寶恩 ,劉又寧 ,葛可佑 ,吳蔚然 ,黎介壽 ,蔣朱明 ,陸兆麟 ,李大魁;臨床營養(yǎng)學(xué)有關(guān)專家對伴有營養(yǎng)不良的“非典”患者給予腸內(nèi)或腸外營養(yǎng)支持的建議[J];腸外與腸內(nèi)營養(yǎng);2003年03期

2 鐘南山,王寶恩,劉又寧,葛可佑,吳蔚然,黎介壽,蔣朱明,陸召麟,李大魁;臨床營養(yǎng)學(xué)有關(guān)專家對伴有營養(yǎng)不良的“傳染性非典型肺炎”患者給予腸內(nèi)或腸外營養(yǎng)支持的建議[J];中國醫(yī)學(xué)科學(xué)院學(xué)報;2003年03期

3 ;臨床營養(yǎng)學(xué)有關(guān)專家對伴有營養(yǎng)不良的傳染性非典型性肺炎患者給予腸內(nèi)或腸外營養(yǎng)支持的建議[J];中華醫(yī)學(xué)信息導(dǎo)報;2003年10期

4 鐘南山,王寶恩 ,劉又寧 ,葛可佑 ,吳蔚然 ,黎介壽,蔣朱明,陸召麟 ,李大魁;臨床營養(yǎng)學(xué)有關(guān)專家對伴有營養(yǎng)不良的“非典型性肺炎”患者給予腸內(nèi)或腸外營養(yǎng)支持的建議[J];中國臨床營養(yǎng)雜志;2003年02期

5 ;喝綠茶降低肺炎死亡[J];健康生活;2010年01期

6 劉海玲,楊仁余;老年下呼吸道感染患者營養(yǎng)代謝研究[J];中國慢性病預(yù)防與控制;1999年02期

7 顧宇彤,蔡映云,雷光浦,柳啟沛;慢阻肺患者營養(yǎng)狀況和飲食指導(dǎo)軟件系統(tǒng)的設(shè)計[J];中國康復(fù)醫(yī)學(xué)雜志;1997年03期

8 ;喝綠茶有助降低肺炎死亡風(fēng)險[J];湖北中醫(yī)雜志;2009年12期

9 羅勇,徐衛(wèi)國,陳迎春,姚迪;主觀全面評價法對慢性阻塞性肺疾病患者營養(yǎng)狀況的評價[J];中華結(jié)核和呼吸雜志;1999年02期

，

本文編號：2140282