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急慢性期脑卒中进食困难病人的营养状况调查研究

张露 黄莺 蒋红 张秀英 周依群 容根南 刘华华 许雅芳 陈莹 朱雅萍

护理研究2017,Vol.31Issue(31):3931-3935,5.
护理研究2017,Vol.31Issue(31):3931-3935,5.DOI:10.3969/j.issn.1009-6493.2017.31.010

急慢性期脑卒中进食困难病人的营养状况调查研究

Investigation on nutritional status of patients with difficulty in feeding during acute and chronic stroke

张露 1黄莺 1蒋红 1张秀英 1周依群 2容根南 3刘华华 1许雅芳 1陈莹 4朱雅萍5

作者信息

  • 1. 241000,复旦大学附属华山医院
  • 2. 241000,复旦大学附属静安区中心医院
  • 3. 241000,复旦大学附属华山北院宝山分院
  • 4. 241000,上海市第一人民医院分院
  • 5. 241000,上海市南京西路社区卫生服务中心
  • 折叠

摘要

Abstract

Objective:To explore the nutritional status of patients with difficulty in feeding after stroke.Meth ods:A total of 266 patients with difficulty in feeding after stroke from 6 hospitals in Shanghai were investigated by general questionnaire,the Chinese version of Minimal-Eating Observation Form-version Ⅱ (MEOF-Ⅱ) and short-form Mini-nutritional Assessment(MNA-SF).Results:Among the patients with difficulty in feeding after stroke,61.3 % had malnutrition and potential malnutrition,the difference of nutritional status between the ingestion difficulty group and the appetite-loss group was statistically significant(P<0.05),the difference of nutrition status of swallowing disorder group was not statistically significant(P<0.01).There was a significant difference in the MNA-SF scores of patients with different levels of difficulty in feeding(P<0.01).There was also a significant difference in nutritional status of patients with difficulty in feeding at different times after stroke(P<0.01).There was significant difference in the nutritional status of patients with different cerebral infarction TOAST classification(P>0.05).Conclusion:The risk of malnutrition was high in patients with difficulty in feeding after stroke.The main reason for the change of nutritional status was that nerve injury causing difficulty of ingestion and loss of appetite.The cause of cerebral infarction was different and the nutritional status was different too.

关键词

脑卒中/进食困难/营养评价/营养不良/摄入/食欲/影响因素

Key words

stroke/difficulty in feeding/nutritional evaluation/malnutrition/ingestion/appetite/influencing factors

分类

医药卫生

引用本文复制引用

张露,黄莺,蒋红,张秀英,周依群,容根南,刘华华,许雅芳,陈莹,朱雅萍..急慢性期脑卒中进食困难病人的营养状况调查研究[J].护理研究,2017,31(31):3931-3935,5.

基金项目

上海市卫生计生系统重要薄弱学科建设计划项目,编号:2015ZB0301 ()

复旦大学护理科研基金项目,编号:FNF201511. ()

护理研究

OA北大核心CSTPCD

1009-6493

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