在急性和亚急性中风患者的营养不良和相关因素与缺食症患者
Jiyong Yoon1, Soyeong Baek1, Yunjeong Jang1
1Department of Rehabilitation Medicine, Gyeongsang National University College of Medicine and Gyeongsang National University Changwon Hospital, Changwon 51472, Republic of Korea.
失消性中风患者中常见的营养不良,在急性阶段影响58.9%,在亚急性阶段影响78.9%. 识别诸如年龄和吞困难等相关因素对于及时的营养干预至关重要.
科学领域:
- 神经学 神经学
- 营养科学 营养科学
- 老年病的医生 老年病的医生
背景情况:
- 脑卒中并发症,包括食障碍,显著影响患者的康复和预后.
- 缺食症经常导致营养不良,但有关不同阶段缺食症中风患者营养状况的综合数据有限.
- 了解导致营养不良的因素对于改善中风幸存者的结果至关重要.
研究的目的:
- 评估急性和亚急性中风患者的营养状况.
- 确定这些患者群体中与营养不良相关的因素.
- 为患有失足症的中风患者提供有针对性的营养干预措施.
主要方法:
- 在2018年3月至2021年2月期间,对620名中风患者进行了视频光镜吞研究 (VFSS) 进行食障碍的回顾性分析.
- 使用血清白蛋白和当前体重与理想体重的百分比来评估营养状况.
- 准确的物流回归用于识别营养不良的相关因素.
主要成果:
- 营养不良的患病率很高:58.9%的急性中风患者和78.9%的亚急性中风患者.
- 在急性中风中,营养不良与老年和高透吸收量表得分有关.
- 在亚急性中风中,营养不良与年龄较大,中风病史,双边半,高修改的兰金表得分,低的韩国迷你精神状态检查得分,肺炎和高功能性消化不良得分有关.
结论:
- 脑卒中患者的消化不良,特别是在急性和亚急性阶段,表现出高水平的营养不良.
- 每个中风阶段的特定因素与营养不良有显著的关联,这凸显了针对性营养护理的需要.
- 积极的营养评估和对患有确定的风险因素的患者的干预对于减轻营养不良和改善中风恢复至关重要.
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