摘要
目的:调查老年住院患者萎缩性舌炎和蛋白质能量营养不良的发生率,探索两者之间的关系。方法:根据萎缩性舌炎的诊断标准调查87例老年住院患者及81例健康体检老年人萎缩性舌炎的发生率;应用微型营养评定(MNA)和简易微型营养评定(MNA-SF)分别对两组老年人进行营养评估,同时检测部分营养相关性血清生化指标。结果:老年住院患者萎缩性舌炎的发生率(20.7%)高于健康体检老年人(4.9%);根据MNA-SF评估结果,老年住院患者营养不良的发生率(42.4%)高于健康体检老年人(23.4%)。老年住院患者中,营养不良者患萎缩性舌炎的相对危险度是营养良好者的10.95倍(95%CI:2.86~41.94);萎缩性舌炎组患者平均MNA得分、平均血清白蛋白、平均血清胆固醇水平低于非萎缩性舌炎组患者。结论:老年住院患者中萎缩性舌炎及蛋白质能量营养不良的发生率较高,萎缩性舌炎的发生与营养不良有关,是营养不良的重要表现。
Objective:To investigate the prevalence of atrophic glossitis(AG) and protein-energy malnutrition in old age,and to examine the association between AG and malnutrition. Method:The prevalence of AG was investigated in 87 el-derly hospitalized patients and 81 aged healthy people attending physical examination. Nutritional status was assessed by Mini Nutritional Assessment (MNA) and Short-Form Mini Nutritional Assessment (MNA-SF) in hospitalized patients and physical examination people respectively. Laboratory indices relating to nutrition were tested in the two groups. Result:The prevalence of AG and malnutrition were higher in hospitalized patients(20.7%;42.4%) than in physical examination peo-ple(4.9%;23.4%) respectively. In the hospitalized patients,the prevalence of AG was substantially higher in malnutrition group compared with normal group, with an odds ratio of 10.95 (95 % CI:2.86-41.94). Meanwhile,the mean MNA score, mean serum albumin level and mean serum cholesterol level were significant lower in AG group than non-AG group in hos-pitalized patients. Conclusion:Atrophic glossitis and malnutrition are common in the elderly hospitalized patients, and at-rophic glossitis may be attributed to malnutrition. Atrophic glossitis is a marker for malnutrition.
出处
《临床口腔医学杂志》
2015年第3期169-172,共4页
Journal of Clinical Stomatology
基金
2013-2014国家临床重点专科建设项目资助(国卫办医函[2013]554号)
关键词
萎缩性舌炎
蛋白质能量营养不良
营养评价
atrophic glossitis
protein-energy malnutrition
nutritional status assessment