發(fā)布時(shí)間：2019-03-13 16:35

【摘要】：目的調(diào)查老年糖尿病足潰瘍患者的營(yíng)養(yǎng)狀況并分析其影響因素。方法采用方便抽樣法,選取老年糖尿病足潰瘍患者182例,應(yīng)用微型營(yíng)養(yǎng)評(píng)估量表對(duì)患者進(jìn)行營(yíng)養(yǎng)狀況評(píng)估,收集患者的相關(guān)臨床資料,檢測(cè)糖化血紅蛋白、血紅蛋白、血清白蛋白和C反應(yīng)蛋白濃度。結(jié)果 182例患者的微型營(yíng)養(yǎng)評(píng)分為(16.36±3.68)分,其中121例(66.48%)發(fā)生營(yíng)養(yǎng)不良,61例(33.52%)存在營(yíng)養(yǎng)不良風(fēng)險(xiǎn)。不同年齡、糖尿病病程、膳食攝入情況、糖化血紅蛋白、感染、C反應(yīng)蛋白、足潰瘍分級(jí)的老年糖尿病足潰瘍患者的微型營(yíng)養(yǎng)評(píng)估量表得分進(jìn)行比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.05);足潰瘍Wagner 3級(jí)以上患者的營(yíng)養(yǎng)不良發(fā)生率、C反應(yīng)蛋白濃度高于足潰瘍Wagner 1~2級(jí)的患者,血紅蛋白、血清白蛋白濃度低于足潰瘍Wagner 1~2級(jí)的患者,兩者比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論老年糖尿病足潰瘍患者營(yíng)養(yǎng)不良發(fā)生率較高,并與炎癥狀態(tài)密切相關(guān),醫(yī)護(hù)人員應(yīng)及時(shí)提供針對(duì)性的干預(yù)措施,改善患者的營(yíng)養(yǎng)狀況。
[Abstract]:Objective to investigate the nutritional status of elderly diabetic foot ulcer patients and analyze its influencing factors. Methods 182 elderly patients with diabetic foot ulcers were selected by convenient sampling method. The nutritional status of the patients was evaluated by mini-nutritional assessment scale. The clinical data of the patients were collected and the glycosylated hemoglobin (HbA1c) was detected. Serum albumin and C-reactive protein concentration. Results the mini-nutritional score of 182 patients was (16.36 鹵3.68), of which 121 (66.48%) suffered from malnutrition and 61 (33.52%) were at risk of malnutrition. The scores of mini-scale were compared among different ages, diabetes duration, dietary intake, glycosylated hemoglobin, infection, C-reactive protein, foot ulcer grade in elderly patients with diabetic foot ulcer. The difference was statistically significant (P0.05); The incidence of malnutrition in patients with foot ulcers above Wagner grade 3, C-reactive protein concentrations higher than those in patients with foot ulcers grade Wagner 1 / 2, hemoglobin and serum albumin levels lower than those in patients with foot ulcers grade Wagner 1 / 2, were compared between the two groups. The difference was statistically significant (P0.05). Conclusion the incidence of malnutrition in elderly patients with diabetic foot ulcer is high and closely related to the inflammatory state. Medical staff should provide timely intervention measures to improve the nutritional status of the patients.
【作者單位】： 佛山市中醫(yī)院內(nèi)分泌科;
【基金】：佛山市科技創(chuàng)新平臺(tái)項(xiàng)目(2015AG10014)
【分類(lèi)號(hào)】：R587.2

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