| Objective To understand the nutritional status of inpatients with stroke and analyze nutritional risk related factors by collecting relevant data of patients,so as to provide reference for medical staff to better nutrition management of stroke patients.Methods Choose 2019 in our hospital between may and November 2019 in ningxia medical university general hospital neurology ward two common ward met inclusion criteria and exclusion criteria of cerebral apoplexy patients,24 hours after admission with Nutritional Risk Screening 2002(Nutritional Risk Screening,NRS-2002)scale,complete Nutritional Screening according to the result of Screening into nutritious Risk groups(NRS-2002≥3)and no Nutritional Risk group(NRS-2002<3).Collect the patient’s general information(gender,age,culture level,occupation,nationality),history of diseases(hypertension,coronary heart disease,diabetes,lifestyle,diet and exercise,body measurement index(weight,height,triceps skinfold,upper arm muscle circumference,upper arm of the midpoint surrounded degree,crus surrounds,etc.),laboratory related index(hemoglobin,serum albumin,total cholesterol,homocysteine,sodium ions,etc.),etc.,analyze the related factors affect nutritional risk patients with cerebral apoplexy.All data were statistically analyzed using SPSS22.0 software.The mean±standard deviation was used to represent the measurement data in line with the normal distribution,and the measurement data in line with the skewed distribution was used as M(Q25,Q75).Enumeration data are represented by constituent ratios.Univariate analysis was performed by independent sample T test,chi-square test and non-parametric test Mann-Whitney U test,while multivariate analysis was performed by Logistic regression model.The difference was statistically significant when P<0.05.Results A total of 186 subjects were included in this study,including 170 patients with cerebral infarction and 16 patients with cerebral hemorrhage.There were 117 patients with first stroke and 69 patients with two or more strokes.1.Statistics of malnutrition.there were 104 patients with malnutrition,accounting for 55.9%,among which 5 were undernourished,accounting for 2.7%,and 99 were overnourished(overweight and obese),accounting for 53.2%;2.Nutritional risk screening results: NRS-2002≥3 was classified as having nutritional risk,and NRS-2002 < 3 was classified as having no nutritional risk.Ninety-eight patients(52.7%)had no nutritional risk.3.Nutritional support: 4 patients were given nutritional support,all of which were enteral nutrition,including 3 patients with nutritional risk and 1 patient without nutritional risk.4.186 cases of hospitalized patients with cerebral apoplexy nutritional risk of single factor analysis results: sex,occupation,number of stroke,stroke type,nationality,eating habits,exercise,history of diseases(hypertension,diabetes,coronary heart disease),smoking,drinking alcohol,triceps skinfold,calf circumference,height,hemoglobin,sodium ions,such as homocysteine and risk of stroke patients nutrition had no correlation(P > 0.05).There were statistically significant differences in age,education level,weight,upper arm muscle circumference,deglutition function,degree of neurological impairment,daily life ability,and serum albumin between the two groups(P <0.05).5.Results of multivariate Logistic regression analysis: Age and degree of neurological impairment were independent risk factors for nutritional risk of inpatients with stroke.Conclusions 1.The incidence of nutritional risk of 186 hospitalized stroke patients in this study was 47.3%,the incidence of undernutrition was 2.7%,and the incidence of excess nutrition was 53.2%.2.Independent risk factors for nutritional risk in hospitalized stroke patients are age and neurological deficit. |
PDF Full Text Request