MNA和SGA在评价炎症性肠病病人营养状况中的应用

The nutritional status evaluation of patients with inflammatory bowel disease by mini nutritional assessment and subjective global assessment

目的:探讨炎症性肠病(IBD)病人营养评估的合理方法。方法:选择微型营养评定法(MNA)联合营养状况主观综合评估(SGA)对IBD病人进行营养状态评估,同时检测血红蛋白(Hb)、总淋巴细胞计数(TLC)、血清前清蛋白(PA)、清蛋白(ALB)以及钠、钾和钙等指标。结果:Pearson相关分析显示,MNA值与Hb、ALB、和Na+呈显著相关性。Kendall's tau-b相关方法分析证明,MNA与SGA两种营养评估方法具有很好的相关性(r=0.772,P=0.000)。结论:MNA联合SGA对IBD病人进行营养状况评估方法科学和准确。

Objective： To explore the nutritional assessment application in inflammatory bowel disease（ IBD）. Methods： Mini nutritional assessment（ MNA） and subjective global assessment（ SGA）were used to assess the IBD patients. Hemoglobin（ Hb）,total lymphocyte count（ TLC）,prealbumin（ PA）,serum albnmin（ ALB）,Na＋,K＋and Ca2 ＋were analysed as well. Results： MNA scores were positively correlated with Hb,ALB,Ca2 ＋and Na＋by Pearson＇s correlation. MNA was positively correlated with SGA in assessing nutritional status of IBD patients by Kendall＇s tau-b method. Conclusion： In IBD patients,the combination of MNA and SGA can make the results more accurate.