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目的:探讨老年综合评估对老年代谢综合征患者营养状态的影响。方法:以2015年2月~2016年2月本院收治的80例老年代谢综合征患者作为研究对象。随机分为对照组和干预组,每组40例。对照组给予常规治疗、营养宣教和指导,干预组在对照组基础上同时进行综合评估。比较治疗前后患者营养状态评分(MNA)得分、营养指标(前白蛋白、白蛋白、淋巴细胞数目和血红蛋白)和血糖(FBG)、甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)水平的变化。结果:治疗前对照组和干预组MNA评分差异无统计学意义,治疗后1个月干预组MNA评分高于对照组,但差异无统计学意义;治疗后3个月,干预组MNA评分高于对照组,其差异具有统计学意义。对照组和干预组治疗后血浆前白蛋白、白蛋白、淋巴细胞数目和血红蛋白水平较治疗前均升高,其差异均具有统计学意义,治疗后1个月,干预组血浆前白蛋白、白蛋白、淋巴细胞数目和血红蛋白水平均高于对照组,其差异均具有统计学意义。治疗后3个月,对照组和干预组FBG、TC和TG水平均下降,HDL-C水平均升高,其差异均具有统计学意义;对照组和干预组治疗前后LDL-C水平差异无统计学意义;治疗后3个月,干预组TG水平低于对照组,其差异均具有统计学意义。结论:临床上对于老年代谢综合征患者实施老年综合评估,制定有效的干预计划,有助于改善患者的营养状态,更好地控制老年代谢综合征患者的血脂水平。
Objective: To investigate the effect of comprehensive evaluation of elderly on nutritional status of elderly patients with metabolic syndrome. Methods: From February 2015 to February 2016, 80 elderly patients with metabolic syndrome admitted to our hospital were enrolled in this study. Randomly divided into control group and intervention group, 40 cases in each group. The control group was given conventional treatment, nutrition education and guidance, intervention group on the basis of the control group at the same time a comprehensive assessment. The scores of nutritional status (MNA), nutritional parameters (prealbumin, albumin, lymphocyte number and hemoglobin) and blood glucose (FBG), triglyceride (TG), total cholesterol (TC), high density lipids Protein (HDL-C), low density lipoprotein (LDL-C) levels. Results: There was no significant difference in MNA score between control group and intervention group before treatment, MNA score of intervention group was higher than that of control group at 1 month after treatment, but the difference was not statistically significant. At 3 months after treatment, MNA score of intervention group was higher than The control group, the difference was statistically significant. The levels of plasma prealbumin, albumin, lymphocyte and hemoglobin in control group and intervention group were higher than those before treatment, the differences were statistically significant. At 1 month after treatment, prealbumin, white The protein, lymphocyte number and hemoglobin level were higher than the control group, the differences were statistically significant. At 3 months after treatment, the levels of FBG, TC and TG decreased and the levels of HDL-C increased in the control group and the intervention group, and the differences were statistically significant. There was no statistical difference in the levels of LDL-C between the control group and the intervention group before and after treatment Learning significance; 3 months after treatment, intervention group TG levels lower than the control group, the differences were statistically significant. Conclusion: The clinical evaluation of senile patients with metabolic syndrome in the implementation of comprehensive evaluation of the elderly to develop effective intervention programs will help improve the patient’s nutritional status, and better control of elderly patients with metabolic syndrome blood lipid levels.