老年糖尿病足潰瘍患者營養(yǎng)狀況調(diào)查及其影響因素分析
發(fā)布時間：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,應用微型營養(yǎng)評估量表對患者進行營養(yǎng)狀況評估,收集患者的相關(guān)臨床資料,檢測糖化血紅蛋白、血紅蛋白、血清白蛋白和C反應蛋白濃度。結(jié)果 182例患者的微型營養(yǎng)評分為(16.36±3.68)分,其中121例(66.48%)發(fā)生營養(yǎng)不良,61例(33.52%)存在營養(yǎng)不良風險。不同年齡、糖尿病病程、膳食攝入情況、糖化血紅蛋白、感染、C反應蛋白、足潰瘍分級的老年糖尿病足潰瘍患者的微型營養(yǎng)評估量表得分進行比較,差異具有統(tǒng)計學意義(P0.05);足潰瘍Wagner 3級以上患者的營養(yǎng)不良發(fā)生率、C反應蛋白濃度高于足潰瘍Wagner 1~2級的患者,血紅蛋白、血清白蛋白濃度低于足潰瘍Wagner 1~2級的患者,兩者比較,差異有統(tǒng)計學意義(P0.05)。結(jié)論老年糖尿病足潰瘍患者營養(yǎng)不良發(fā)生率較高,并與炎癥狀態(tài)密切相關(guān),醫(yī)護人員應及時提供針對性的干預措施,改善患者的營養(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)新平臺項目(2015AG10014)
【分類號】：R587.2
[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)新平臺項目(2015AG10014)
【分類號】：R587.2
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