临床神经病学杂志2013，Vol.26Issue(1)：31-34,4.
急性脑卒中患者营养不良、卒中后并发症及不良预后的危险因素分析
Risk factors analysis of undernutrition, complications and poor prognosis in acute stroke patients
摘要
Abstract
Objective To investigate the risk factors of undernutrition, complications and poor prognosis in acute stroke patients. Methods The general information of 122 acut stroke patients were collected. The undernutritional status and nerve function defect degree were evaluated. The prognosis was evaluated by modified Rankin scale (mRS) after 3 months. The factors related to undernutrition, complications and poor prognosis were analyzed. Results Ninety-one patients were included in this study at follow-up. Age and NIHSS score were risk factors of undernutrition at admission ( P < 0. 05 -0.001). Age, hypercholesterolemia, undernutrition at admission and enteral feed were risk factors of undernutrition at 7 d (P < 0. 05 -0.001). Multiple logistic regression analysis showed that undernutrition at admission was the independent predictors of undernutrition at 7 d (OR = 14. 15, 95% CI; 3.32 -61.76, P<0.001). Age, NIHSS score at admission, undernutrition at admission, enteral feed, NIHSS score at 7 d, undernutrition and nutritional worsened at 7 d were risk factors of complications (all P < 0. 01 ). Multiple logistic regression analysis showed that NIHSS score and undernutrition at admission were the independent predictors of complications ( OR = 1. 11,95% CI:1. 04 - 1. 48,P < 0. 05; OR = 6. 56, 95% CI:1. 18 - 42. 72, P < 0. 05 ). Age, NIHSS score at admission, NIHSS score at 7 d, undernutrition and nutritional worsened at 7 d were risk factors of poor prognosis ( P < 0. 05 - 0. 01 ). Multiple logistic regression analysis showed that undernutrition and NIHSS score at 7 d were the independent predictors of poor prognosis ( OR = 4. 32, 95% CI:1. 15 - 18. 89, P < 0. 05 ; OR = 1. 81, 95 % CI: 1. 21 - 2. 43, P < 0. 01). Conclusions Undernutrition at admission is the independent predictors of undernutrition at 7 d. NIHSS score and undernutrition at admission are the independent predictors of complications. Undernutrition and NIHSS score at 7 d are the independent predictors of poor prognosis.关键词
急性脑卒中/营养不良/并发症/不良预后Key words
undernutrition/ older patients/ acute stroke/ complications/ poor prognosis分类
医药卫生引用本文复制引用
邓晓清,黄丽华,蒋红焱,张立湘,向平,周琦,王晓磊,雷英,金佩文..急性脑卒中患者营养不良、卒中后并发症及不良预后的危险因素分析[J].临床神经病学杂志,2013,26(1):31-34,4.基金项目
广西壮族自治区卫生厅课题(Z2008442,Z2010009,Z2012612) （Z2008442,Z2010009,Z2012612）
