缺食症与血清白蛋白水平之间的相关性和预后:一项回顾性研究
Ping-Ping Zhang1, Hai-Yang Feng2, De-Zhi Lu3
1Rehabilitation Department. Kunshan Rehabilitation Hospital. Suzhou, School of Rehabilitation Medicine Weifang Medical University.
Nutricion hospitalaria
|August 3, 2023
概括
与中风相关的吞障碍 (吞困难) 与血清白蛋白水平降低和患者治疗结果较差有关. 这项研究证实,失足症对中风幸存者的预后和健康状况产生负面影响.
科学领域:
- 神经学 神经学
- 临床营养学 临床营养学
- 老年病的医生 老年病的医生
背景情况:
- 缺食症是中风后经常出现的并发症.
- 血清白蛋白是健康和疾病状况的公认指标.
- 在中风患者中,食障碍和血清白蛋白之间的关系尚不清楚.
研究的目的:
- 为了研究食障碍和血清白蛋白水平之间的相关性.
- 评估食障碍对中风患者预后的影响.
主要方法:
- 对1370名住院中风患者 (2018年6月 - 2022年6月) 的回顾性研究.
- 患者被分为缺食症和非缺食症组.
- 使用二进制逻辑学和多重线性回归模型进行分析,用于食障碍,白蛋白,mRS,ADL和LOS.
主要成果:
- 缺食症显著增加了肺炎 (OR=2.417),严重残疾 (mRS ≥3,OR=3.272) 和低蛋白血症 (OR=2.533) 的风险.
- 缺食与较低的白蛋白水平 (β=-0.220),较高的mRS (β=0.265),较低的ADL得分 (β=-0.210) 和更长的住院时间 (β=0.147) 相相关.
结论:
- 脑卒中患者的失与血清白蛋白水平降低有关.
- 缺食症显著恶化预后,影响功能结果并增加并发症风险.
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