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华西医学  2013 

微型营养评估简易法预测老年住院患者临床预后的研究

DOI: 10.7507/1002-0179.20130280, PP. 898-901

Keywords: 微型营养评估简易法,营养不良,老年,预后

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Abstract:

目的 探索微型营养评估简易法(MNA-SF)能否客观、正确地评估老年住院患者的营养状况以及对临床预后进行预测。方法 选择2012年3月-4月四川大学华西医院新入院老年患者407例,平均年龄(75.4±7.10)岁,以MNA-SF评估其营养状态并根据营养状态分为两组,随访至出院或住院第30d,分析其营养状况与住院时间,住院费用,全身炎症反应综合征(SIRS),死亡等临床结局的相关性。结果 营养不良者22.6%(92例),营养不良风险者31.9%(130例),营养状态良好者45.5%(185例)。其中34例营养不良者,18例营养不良风险者和4例营养良好者发生SIRS;另有11例营养不良者,7例营养不良风险者和1例营养良好者死亡。MNA-SF分值在0~7分的患者无论在发生SIRS还是临床不良结局方面显著高于分值为8~14分的患者(P<0.05)。营养不良者住院时间为(14.6±8.30)d,营养不良风险或营养良好者为(12.1±7.99)d,差异具有统计学意义(P<0.05)。结论 MNA-SF是一可靠,简便易行,可以预测老年住院患者临床预后的营养评估工具。

References

[1]  [ 9 ] 何文英, 张晓斌, 魏喜玲, 等. MNA在炎症性肠病患者营养评价中的应用[J].河北医药, 2010, 32(21): 2977-2979.
[2]   Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system[J]. Int J Environ Res Public Health, 2011, 8(2): 514-527.
[3]   Al Snih S, Markides KS, Ottenbacher KJ. Raji MA;Hand grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period[J]. Aging clinical and experimental research, 2004, 16(6):481-486.
[4]   徐盛明, 刘明媛, 李保春.全身炎症反应综合征和多器官功能障碍综合征的治疗进展[J].第二军医大学学报, 2004, 25(8): 886-888.
[5]   齐文杰, 张淑文. 全身炎症反应综合征评分在急性感染患者预后中的价值[J]. 临床和实验医学杂志, 2002, 1(2): 76-79.
[6]   Braunschweig C, Gomez S, Sheean PM. Impact of declines in nutritional status on outcomes in adult patients hospitalized for more than 7 days [J]. J Am Diet Assoc, 2000, 100(11): 1316-1322.
[7]  [ 1 ] Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition[J]. Clin Geriatr Med, 2002, 18(4): 737-757.
[8]  [ 2 ] Feldblum I, German L, Caste H, et al. Characteristics of undernourished older medical patients and the identification of predictors for undernutrition status[J]. Nutr J, 2007, 37(6): 1-9.
[9]  [ 3 ] De Luis DA, López Mongil R, González Sagrado M, et al. Evaluation of the mini-nutritional assessment short-form(MNA-SF) among institutionalized older patients in Spain. Nutrición hospitalaria [J]. 2011, 26(6): 1350-1354.
[10]  [ 4 ] Rubenstein LZ, Harker JO, Salva A, et al. Screening for under nutrition in geriatric practice: Developing the short form Mini-Nutrtional Assessment(MNA-SF)[J]. J Gerontol, 2001, 56(6): M366-372.
[11]  [ 5 ] Kondrup J, Allison SP, Elia M, et al. ESPEN Guidelines for Nutrition Screening 2002 [J]. Clinical Nutrition, 2003(22): 415-421.
[12]  [ 6 ] Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status[J]. J Nutr Health Aging, 2009, 13(9): 782-788.
[13]  [ 7 ] 刘学员, 唐伟雄, 唐慧明, 等. MNA、MNA-SF 在老年患者营养评价中的应用[J].解放军医学杂志, 2008, 33(2): 237.
[14]  [ 8 ] 汪海峰. 老年恶性肿瘤患者MNA-SF营养评价和SF-36生活质量评价[J]. 同济大学学报, 2009, 30(3): 129-131.
[15]   Middleton MH, Nazarenko G, Nivison-Smith I, et al. Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals [J]. Int Med J, 2001, 31(8): 455-61.
[16]   Isabel TD, Correia M. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis [J]. Clin Nutr, 2003, 22(3): 235-239.
[17]   Stratton RJ, King CL, Stroud MA, et al. “Malnutrition Universal Screening Tool” predicts mortality and length of hospital stay in acutely ill elderly [J]. Br J Nutr, 2006, 95(2): 325-330.

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