中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
7期
764-767
,共4页
张敏%郝艳青%刘秀%孙铮
張敏%郝豔青%劉秀%孫錚
장민%학염청%류수%손쟁
卒中%吞咽障碍%营养评价%微型营养评价法%营养风险筛查2002
卒中%吞嚥障礙%營養評價%微型營養評價法%營養風險篩查2002
졸중%탄인장애%영양평개%미형영양평개법%영양풍험사사2002
Stroke%Dyphagia%Nutritional assessment%MNA%NRS-2002
目的 探讨欧洲营养风险筛查2002 (NRS-2002)与微型营养评价法(MNA)在脑卒中吞咽障碍患者中进行营养风险筛查的适用性,及其与传统营养评价指标的相关性.方法 采用便利随机抽样法,选择脑卒中吞咽障碍患者70例为研究对象,利用NRS-2002、MNA量表进行营养状况评估,同时测量传统营养评价指标,并进行统计学处理,分析其相关性.结果 MNA调查结果显示,营养不良的患病率为10.0％,潜在营养不良患病率为42.9％,营养正常的为47.1％.NRS-2002调查结果显示,营养风险的患病率为41.4％,营养正常的为58.6％.NRS-2002、MNA与传统营养评价法中的体重指数、肱三头肌皮褶厚度、上臂肌围、腓肠肌围、血红蛋白、总蛋白、白蛋白、前白蛋白及总淋巴细胞数呈显著相关,相关系数(r)分别为-0.618～-0.393及0.411～0.668(P ＜0.05).以传统营养评价法为标准MNA、NRS-2002的灵敏度分别为83.3％,77.8％；特异度为57.7％,71.2％；Kappa值分别为0.31,0.41.结论 脑卒中吞咽障碍患者营养不良的发生率较高,NRS-2002是较MNA及传统营养评价法评价脑卒中吞咽障碍患者营养状况更快速有效的方法,可有效应用于脑卒中吞咽障碍患者营养状况的评价.
目的 探討歐洲營養風險篩查2002 (NRS-2002)與微型營養評價法(MNA)在腦卒中吞嚥障礙患者中進行營養風險篩查的適用性,及其與傳統營養評價指標的相關性.方法 採用便利隨機抽樣法,選擇腦卒中吞嚥障礙患者70例為研究對象,利用NRS-2002、MNA量錶進行營養狀況評估,同時測量傳統營養評價指標,併進行統計學處理,分析其相關性.結果 MNA調查結果顯示,營養不良的患病率為10.0％,潛在營養不良患病率為42.9％,營養正常的為47.1％.NRS-2002調查結果顯示,營養風險的患病率為41.4％,營養正常的為58.6％.NRS-2002、MNA與傳統營養評價法中的體重指數、肱三頭肌皮褶厚度、上臂肌圍、腓腸肌圍、血紅蛋白、總蛋白、白蛋白、前白蛋白及總淋巴細胞數呈顯著相關,相關繫數(r)分彆為-0.618～-0.393及0.411～0.668(P ＜0.05).以傳統營養評價法為標準MNA、NRS-2002的靈敏度分彆為83.3％,77.8％；特異度為57.7％,71.2％；Kappa值分彆為0.31,0.41.結論 腦卒中吞嚥障礙患者營養不良的髮生率較高,NRS-2002是較MNA及傳統營養評價法評價腦卒中吞嚥障礙患者營養狀況更快速有效的方法,可有效應用于腦卒中吞嚥障礙患者營養狀況的評價.
목적 탐토구주영양풍험사사2002 (NRS-2002)여미형영양평개법(MNA)재뇌졸중탄인장애환자중진행영양풍험사사적괄용성,급기여전통영양평개지표적상관성.방법 채용편리수궤추양법,선택뇌졸중탄인장애환자70례위연구대상,이용NRS-2002、MNA량표진행영양상황평고,동시측량전통영양평개지표,병진행통계학처리,분석기상관성.결과 MNA조사결과현시,영양불량적환병솔위10.0％,잠재영양불량환병솔위42.9％,영양정상적위47.1％.NRS-2002조사결과현시,영양풍험적환병솔위41.4％,영양정상적위58.6％.NRS-2002、MNA여전통영양평개법중적체중지수、굉삼두기피습후도、상비기위、비장기위、혈홍단백、총단백、백단백、전백단백급총림파세포수정현저상관,상관계수(r)분별위-0.618～-0.393급0.411～0.668(P ＜0.05).이전통영양평개법위표준MNA、NRS-2002적령민도분별위83.3％,77.8％；특이도위57.7％,71.2％；Kappa치분별위0.31,0.41.결론 뇌졸중탄인장애환자영양불량적발생솔교고,NRS-2002시교MNA급전통영양평개법평개뇌졸중탄인장애환자영양상황경쾌속유효적방법,가유효응용우뇌졸중탄인장애환자영양상황적평개.
Objective To identify the applicability of mini-nutritional assessment (MNA),and nutrition risk screening2002(NRS-2002) on screening nutrition risk in stroke patients with dyphagia,and the relationship among MNA,NRS-2002 and traditional nutritional assessment.Methods Convenient random sampling method was used to select 79 stroke patients with dyphagia as the research objects.NRS-2002 and MNA was used to assess their nutriture and traditional nutritional evaluation indexes were observed.The correlation between MNA,NRS-2002 and traditional nutritional assessment was analyzed.Results MNA showed that the prevalence of malnutrition was 10.0％,the potential risk was 42.9％ and the normal nutrition was 47.1％.NRS-2002 showed that the potential risk was 41.4％ and the normal nutrition was 58.6％.The correlation coefficients of indexes including BMI,TSF,AMC,CC,Hb,TP,Alb,PA and LC were 0.411-0.668 (P ＜ 0.01) between MNA and traditional nutritional assessment.And the correlation coefficients of indexes including BMI,TSF,AMC,CC,Hb,TP,Alb,PA and LC were-0.618--0.393 (P ＜0.01) between NRS-2002 and traditional nutritional assessment.Taking traditional nutrition evaluation as the standard,the sensitivities of MNA and NRS-2002 were 88.3％ and 77.8％,the specificities were 57.7％ and 71.2％,and the Kappa values were 0.31 and 0.41 respectively.Conclusions Malnutrition is a common problem in stroke patients with dyphagia.NRS-2002 is a more rapid and effective method to assess patients' nutriture than MNA and traditional nutritional assessment,thus can be applied to the nutritional assessment in stroke patients with dyphagia.
