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骨科新入院患者营养状况调查分析 被引量:4

Nutritional status of hospitalized orthopedic patients
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摘要 目的 了解骨科新入院患者营养不良发生情况,为骨科营养不良患者在入院后进行营养支持和治疗提供理论依据.方法 选取骨科新入院128例患者,进行问卷调查、人体学测量及实验室检查.患者在性别方面分为男性组(82例)和女性组(46例),在疾病性质方面分为骨折组(82例)和骨肿瘤组(46例).骨折组分为外伤性骨折组(54例)和病理性骨折组(28例),骨肿瘤组分为骨良性肿瘤组(19例)和骨恶性肿瘤组(27例).结果 骨科新入院128例患者中确定为营养不良的有42例(32.8%),存在发生营养不良风险的有66例(51.6%),营养状况良好的有20例(15.6%).不同性别患者中男性组血红蛋白高于女性组[(135 ±25)g/L比(122±18) g/L],差异有统计学意义(P<0.05).病理性骨折患者的上臂围、总蛋白、清蛋白、前白蛋白和血红蛋白5项指标均低于外伤性骨折患者[(26 ±4)cm比(28±4)em、(6.5±0.7) g/L比(7.2±0.7)g/L、(3.6±0.6)g/L比(4.8 ±0.5) g/L、(169±62) g/L比(210±62) g/L、(119±24) g/L比(138±22)g/L],差异均有统计学意义(均P<0.05);骨恶性肿瘤患者的总蛋白、清蛋白、前白蛋白和血红蛋白4项指标均低于骨良性肿瘤患者[(6.5±0.7)g/L比(7.2 ±0.7) g/L、(3.5±0.6)g/L比(4.5±0.5) g/L、(176±60)g/L比(208 ±61) g/L、(122±24) g/L比(137±21) g/L],差异均有统计学意义(均P<0.05).结论 本研究发现我院骨科新入患者的营养状况非常差,男性患者营养不良发生率高于女性患者,病理性骨折患者和骨恶性肿瘤患者的营养不良发生率分别高于外伤性骨折患者和骨良性肿瘤患者. Objective To understand the incidence of malnutrition of new orthopdic hospitalized patients;to provide a theoretical basis for nutritional support and treatment for orthopedic malnourished patients after admission.Methods The clinical data of orthopedic patients were collected,including questionnaires,body measurements and laboratory related indicators.Patients were divided into male group (82 cases) and female group (46 cases) ; they were also divided into the fracture patients (82 cases) and cancer patients (46 cases) in terms of nature of the disease.Fracture patients were divided into traumatic fracture group (54 cases) and pathologic fracture group (28 cases) ; cancer patients (46 cases) were divided into bone benign group (19 cases) and bone cancer group (27 cases).Results There were 42 cases identified as malnourished among 128 cases(32.8%) ;66 cases were in the risk of malnutrition(51.6%) ; 20 cases were nourished(15.6%).The hemoglobin of male group was higher than that of female group [(135 ± 25) g/L vs (122 ± 18) g/L,P 〈 0.05].The upper arm circumference,total protein,albumin,prealbumin and hemoglobin of patients with pathologic fractures were lower than those of patients with traumatic fractures [(26 ± 4) cm vs (28 ± 4) cm,(6.5 ± 0.7) g/L vs (7.2 ± 0.7) g/L,(3.6 ±0.6)g/L vs (4.8 ±0.5)g/L,(169 ±62)g/L vs (210 ±62)g/L,(119 ±24)g/L vs (138 ± 22) g/L,all P 〈0.05].The total protein,albumin,prealbumin and hemoglobin of patients with malignant bone tumors were lower than those of patients with benign bone [(6.5 ± 0.7) g/L vs (7.2 ± 0.7) g/L,(3.5 ± 0.6) g/L vs (4.5 ± 0.5) g/L,(176 ±60)g/L vs (208 ±61)g/L,(122 ±24)g/L vs (137 ±21)g/L,all P 〈0.05].Conclusion The incidence of malnutrition in male patients is high than that in female patients; the incidence of malnutrition in pathologic fracture patients and bone cancer patients is higher than that in traumatic fracture patients and bone benign patients.
作者 李耀华
出处 《中国医药》 2014年第8期1176-1179,共4页 China Medicine
关键词 营养调查 骨科 新入院 Nutrition survey Osteopathic New hospitalized
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