脑卒中并发糖尿病患者营养风险筛查

Nutritional Risk Screening for Stroke Patients with Diabetes Mellitus

目的调查脑卒中并发糖尿病患者营养风险的发生情况。方法对神经内科住院的脑卒中并发糖尿病患者采用营养风险筛查量表(NRS2002)进行营养风险评价。结果营养不足和营养风险发生率分别为11.3%(42/372)和35.8%(133/372)。60岁以上患者较60岁以下者营养风险发生率显著增高(P=0.001);非首发脑卒中患者较首发者营养不足及营养风险发生率显著增高(P<0.001)。结论 60岁以上、非首发的脑卒中并发糖尿病患者营养不足和营养风险发生率较高,应引起重视。

Objective To investigate the incidence of nutritional risk for stroke patients with diabetes mellitus. Methods All the stroke patients with diabetes mellitus in a neurologic department were investigated with Nutritional Risk Screening （NRS2002）. Results The inci- dences of undemutrition and nutritional risk were 11.3% （42/372） and 35.8% （133/372）, respectively. The incidence of nutritional risk was more in the patients aged over 60 years than in the patients below 60 years （P=0.001）. The incidence of both undemutrition and nutritional risk was more in the patients with stroke relapsing than those of the initial stroke （P〈0.001）. Conclusion The stroke patients with diabetes mellitus are in the risk of undernutrition and nutritional risk, especially those over the age of 60 years and relapsed stroke.