【摘要】：目的探討腦卒中患者醫(yī)院獲得性肺炎(HAP)與臨床營(yíng)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(jìn)行營(yíng)養(yǎng)指標(biāo)檢測(cè),比色法測(cè)定血紅蛋白,速率散射比濁法測(cè)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(yíng)養(yǎng)學(xué)指標(biāo)血紅蛋白含量間的差異有統(tǒng)計(jì)學(xué)意義(t=4.479,P0.05);腦卒中患者HAP組與非HAP組臨床營(yíng)養(yǎng)學(xué)指標(biāo)血清白蛋白含量之間的差異有統(tǒng)計(jì)學(xué)意義(t=6.643,P0.01);腦卒中患者HAP組與非HAP組臨床營(yíng)養(yǎng)學(xué)指標(biāo)前白蛋白含量之間差異有統(tǒng)計(jì)學(xué)意義(t=5.677,P0.05);腦卒中患者HAP組與非HAP組臨床營(yíng)養(yǎng)學(xué)指標(biāo)胃泌素含量之間的差異有統(tǒng)計(jì)學(xué)意義(t=6.835,P0.05)。結(jié)論營(yíng)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(duì)患者的營(yíng)養(yǎng)狀況進(jìn)行適時(shí)檢測(cè),并評(píng)估患者的營(yíng)養(yǎng)狀況指標(biāo)參數(shù),避免導(dǎo)致?tīng)I(yíng)養(yǎng)狀況惡化,并對(duì)腦卒中合并HAP患者制定有針對(duì)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(xiàng)目(2012ZA012)
【分類(lèi)號(hào)】：R563.1

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