中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2013年
21期
9518-9521
,共4页
张彩运%雷敏%冯东娟%李晓红%国春花
張綵運%雷敏%馮東娟%李曉紅%國春花
장채운%뢰민%풍동연%리효홍%국춘화
骨折%因素分析,统计学%营养风险筛查2002
骨摺%因素分析,統計學%營養風險篩查2002
골절%인소분석,통계학%영양풍험사사2002
Fractures,bone%Factor analysis,statistical%Nutritional risk screening 2002
目的：调查骨折患者术前营养风险及其相关因素。方法采用定点连续抽样，选择4650例骨折患者为研究对象，入院48 h内分别进行NRS2002营养风险筛查；其中不能获得BMI的患者，根据血清白蛋白含量进行评定。结果营养风险平均发生率为21.98%，其中男性为24.52%，女性为18.17%，男女比较差异有统计学意义（P＜0.0001）；老年患者营养风险的发生率高于中青年患者，且两组比较差异有统计学意义（P＜0.0001）；除上肢骨折与下肢骨折、颈椎骨折与胸腰椎骨折、胸腰椎骨折与骨盆骨折之间差异无统计学意义，其余骨折部位之间的两两比较，差异均有统计学意义（P＜0.003)；是否伴有其他慢性病史的患者营养风险的发生率分别为40.70%和16.67%，两组差异有统计学意义（P＜0.0001）。自变量（年龄、骨折部位和慢性病史）与营养风险的多元相关系数（R）为0.847，决定系数（R2）为0.717，P＜0.0001，回归模型整体解释变异量达到显著水平。其中年龄和慢性病史分别与营养风险的 OR 值分别是10.662和3.431。结论颈椎骨折、胸腰椎骨折、骨盆骨折和两处以上骨折患者存在较高的营养风险，并且“60岁以上”和“伴有慢性病史”都是营养风险的影响因素。
目的：調查骨摺患者術前營養風險及其相關因素。方法採用定點連續抽樣，選擇4650例骨摺患者為研究對象，入院48 h內分彆進行NRS2002營養風險篩查；其中不能穫得BMI的患者，根據血清白蛋白含量進行評定。結果營養風險平均髮生率為21.98%，其中男性為24.52%，女性為18.17%，男女比較差異有統計學意義（P＜0.0001）；老年患者營養風險的髮生率高于中青年患者，且兩組比較差異有統計學意義（P＜0.0001）；除上肢骨摺與下肢骨摺、頸椎骨摺與胸腰椎骨摺、胸腰椎骨摺與骨盆骨摺之間差異無統計學意義，其餘骨摺部位之間的兩兩比較，差異均有統計學意義（P＜0.003)；是否伴有其他慢性病史的患者營養風險的髮生率分彆為40.70%和16.67%，兩組差異有統計學意義（P＜0.0001）。自變量（年齡、骨摺部位和慢性病史）與營養風險的多元相關繫數（R）為0.847，決定繫數（R2）為0.717，P＜0.0001，迴歸模型整體解釋變異量達到顯著水平。其中年齡和慢性病史分彆與營養風險的 OR 值分彆是10.662和3.431。結論頸椎骨摺、胸腰椎骨摺、骨盆骨摺和兩處以上骨摺患者存在較高的營養風險，併且“60歲以上”和“伴有慢性病史”都是營養風險的影響因素。
목적：조사골절환자술전영양풍험급기상관인소。방법채용정점련속추양，선택4650례골절환자위연구대상，입원48 h내분별진행NRS2002영양풍험사사；기중불능획득BMI적환자，근거혈청백단백함량진행평정。결과영양풍험평균발생솔위21.98%，기중남성위24.52%，녀성위18.17%，남녀비교차이유통계학의의（P＜0.0001）；노년환자영양풍험적발생솔고우중청년환자，차량조비교차이유통계학의의（P＜0.0001）；제상지골절여하지골절、경추골절여흉요추골절、흉요추골절여골분골절지간차이무통계학의의，기여골절부위지간적량량비교，차이균유통계학의의（P＜0.003)；시부반유기타만성병사적환자영양풍험적발생솔분별위40.70%화16.67%，량조차이유통계학의의（P＜0.0001）。자변량（년령、골절부위화만성병사）여영양풍험적다원상관계수（R）위0.847，결정계수（R2）위0.717，P＜0.0001，회귀모형정체해석변이량체도현저수평。기중년령화만성병사분별여영양풍험적 OR 치분별시10.662화3.431。결론경추골절、흉요추골절、골분골절화량처이상골절환자존재교고적영양풍험，병차“60세이상”화“반유만성병사”도시영양풍험적영향인소。
ObjectiveTo investigate the nutritional risk and related factors in patients with fracture before the operation.MethodsBy using the method of continuous sampling, there were 4650 cases of fractures in patients with nutritional risk screening NRS2002 within 48 hours of admission.Patients who cannot obtain BMI were considered the nutritional risk, if their serum albumin content was less than 30 g/L.ResultsNutritional risk average occurrence rate was 21.98%, that of the male was 24.52%, female 18.17%, and the difference between men and women was statistically significant(P<0.0001). Occurrence of nutritional risk in elderly patients was higher than that in the young patients, and there was significant difference between two groups (P<0.0001). In addition to upper limb fracture and fracture of lower limb, cervical spine fracture and fracture of thoracic and lumbar spine, thoracic and lumbar fractures and fractures of the pelvis were no statistical significance.Compare of the rest of the fracture site, the differences were all statistically significant (P<0.003). The difference of incidence rate of nutritional risk between the patients with other chronic disease and those without it was statistically significant(P<0.0001). Because the multiple correlation coefficient(R) between the variables (age, fracture and chronic disease) and nutritional risk was 0.847 and the coefficient of determination(R2) was 0.717,P<0.0001, the regression model could be established. Calculated using nutritional risk, theOR values of age and chronic disease were respectively 10.662 and 3.431.ConclusionNutritional risk of patients with cervical spine fracture, fracture of thoracic and lumbar spine, pelvic fracture and multiple fractures was high, and the "above 60 years old" and "chronic disease" were both the risk factors of nutritional risk.
