脑卒中住院患者营养风险和营养支持现状调查

Nutritional risk and nutritional support of stroke patients during hospitalization

目的调查脑卒中住院患者营养风险现状和营养支持现状,以期为卒中患者提供合理疾病后营养支持,规避营养不良风险提供支持。方法选取哈尔滨某三甲医院2017年12月1日—2018年9月1日收治入院的93例脑卒中患者为研究对象,运用传统评估法与综合评定法,调查分析脑卒中患者营养风险状况、营养不良发生率和营养支持现状,了解脑卒中患者发生营养风险现状及获得营养支持现状。结果93例脑卒中患者中,14.0%(13/93)患者存在不同程度的营养不良,患者发生营养不良风险的比例为36.56%(34/93);患者入院后人体测量各指标较入院前均有下降,前后比较差异有统计学意义(P<0.05);脑卒中住院患者给予营养支持者占11.83%。结论脑卒中后患者营养不良风险发生率较高,获得营养支持比较低,患者脑卒中后营养状况应受到重视。

Objective To investigate the nutritional risk status and nutritional support status of stroke patients during hospitalization so as to provide appropriate post-disease nutritional support for stroke patients and to avoid the risk of malnutrition. Methods A total of 93 stroke patients admitted in a Class III Grade A hospital in Harbin from December 1st 2017 to September 1st 2017 were selected as the research objects in this study. Traditional evaluation method and comprehensive evaluation method were adopted to investigate and analyze the stroke patients' nutritional risk status, incidence of malnutrition and nutritional support status, and to understand the stroke patients' risk factors for malnutrition and status of getting nutritional support. Results In 93 stroke patients, 14.0%(13/93) patients had varying degrees of malnutrition;the proportion of malnutrition risk was 36.56%(34/93). Upon discharge, the handgrip strength, calf circumference and upper arm circumference were lower than those at admission and the differences were statistically significant (P<0.05);the stroke inpatients receiving nutritional support accounted for 11.83%. Conclusions The risk of malnutrition in patients post-stroke is high and the proportion of them who receive nutritional support is low, their nutritional status should be paid more attention to.