摘要
目的 通过MNA-SF评估老年科住院患者的营养状况，分析不同营养状况与肌肉减少症及其他相关因素的关系，为患者营养治疗的正确实施提供临床证据。 方法 选取南京医科大学康达学院第一附属医院自2017年6月至2017年12月入院的65岁以上的老人200例，通过MNA-SF评分将老年科患者分为营养状况正常组、有营养不良风险组及营养不良组，采用人体成分分析仪测定体质指数、骨骼肌量、四肢骨骼肌质量指数，同时测量握力、步速，并收集相关血液指标。结果 200例老年科住院患者中，50.5%营养状况正常，26.5%有营养风险，23.0%存在营养不良；三组肌肉减少症患病率有显著性差异，营养不良组肌肉减少症患病率高于营养风险组和营养状况正常组（P<0.05）；三组血清白蛋白、血清前白蛋白、血红蛋白以及体质指数、骨骼肌量、四肢骨骼肌质量指数、握力、步速等指标差异均有统计学意义（P<0.05），其中营养不良组<营养风险组<营养状况正常组。结论 老年科住院患者中存在较高比例的营养不良风险和营养不良，营养不良的老年患者更容易患肌肉减少症，营养相关指标表达较低，有必要及时进行营养治疗。
Abstract
Objective To evaluate the nutritional status of elderly medicine patients with MNA-SF， to analyze the relationship between nutritional status， sarcopenia and other related factors， and to propose better clinical strategies on the evidences of nutrition treatment for elderly patients. Methods A total of 200 cases of patients aged more than 65 older who received treatment in the elderly medicine of the first affiliated hospital of Kangda college of Nanjing medical university from June 2017 to December 2017 were enrolled in this study. According to the scores of MNA-SF， the patients were divided into normal nutritional group， risk of malnutrition group and malnutrition group. The body composition was measured by body composition analyzer and in the meantime， grip strength， stride speed and laboratory index were evaluated. Results Among the 200 elderly medicine patients， the incidence of normal nutritional status， the risk of malnutrition and malnutrition were 50.5%， 26.5% and 23.0%， respectively. The prevalence of sarcopenia was significantly different between three groups， and the prevalence of sarcopenia in malnutrition group was higher than that in the risk of malnutrition group and the normal nutrition group (P<0.05). The levels of albumin， prealbumin， hemoglobin， body mass index， skeletal muscle， appendicular skeletal muscle mass index， grip strength and stride speed were significantly different between three groups (P<0.05). Conclusions There is a high proportion of malnutrition risk and malnutrition in elderly patients. Patients with malnutrition were more likely to suffer from sarcopenia. Timely nutritional treatment is necessary.
关键词
老年科住院患者 /
营养不良 /
肌肉减少症
Key words
Elderly patients /
Malnutrition /
Sarcopenia
易海维，李文丽，郁云兰，马东波.
老年住院患者营养不良与肌肉减少症及相关因素的分析[J]. 肿瘤代谢与营养电子杂志. 2019, 6(2): 225-229 https://doi.org/10.16689/j.cnki.cn11-9349/r.2019.02.014
YI Hai-wei， LI Wen-li， YU Yun-lan， MA Dong-bo.
The relative factors analysis of malnutrition status and sarcopenia in elderly patients[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2019, 6(2): 225-229 https://doi.org/10.16689/j.cnki.cn11-9349/r.2019.02.014
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基金
马东波，电子邮箱：184322536@qq.com
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