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2型糖尿病患者营养风险筛查及其影响因素分析

李靖 周玉森 郝树立 武炜 马国旗

李靖, 周玉森, 郝树立, 武炜, 马国旗. 2型糖尿病患者营养风险筛查及其影响因素分析[J]. 中华全科医学, 2024, 22(1): 74-76. doi: 10.16766/j.cnki.issn.1674-4152.003334
引用本文: 李靖, 周玉森, 郝树立, 武炜, 马国旗. 2型糖尿病患者营养风险筛查及其影响因素分析[J]. 中华全科医学, 2024, 22(1): 74-76. doi: 10.16766/j.cnki.issn.1674-4152.003334
LI Jing, ZHOU Yusen, HAO Shuli, WU Wei, MA Guoqi. Nutritional risk screening and influencing factors in patients with type 2 diabetes[J]. Chinese Journal of General Practice, 2024, 22(1): 74-76. doi: 10.16766/j.cnki.issn.1674-4152.003334
Citation: LI Jing, ZHOU Yusen, HAO Shuli, WU Wei, MA Guoqi. Nutritional risk screening and influencing factors in patients with type 2 diabetes[J]. Chinese Journal of General Practice, 2024, 22(1): 74-76. doi: 10.16766/j.cnki.issn.1674-4152.003334

2型糖尿病患者营养风险筛查及其影响因素分析

doi: 10.16766/j.cnki.issn.1674-4152.003334
基金项目: 

安徽省卫生健康科研项目 AHWJ2022b117

详细信息
    通讯作者:

    周玉森,E-mail:zhouyusen9180@163.com

  • 中图分类号: R587.1  R459.3

Nutritional risk screening and influencing factors in patients with type 2 diabetes

  • 摘要:   目的  基于营养风险筛查2002(NRS2002)系统分析2型糖尿病患者的营养状况,研究患者营养风险的主要影响因素。  方法  选取2022年10月10日—2023年5月9日亳州市人民医院收治的糖尿病住院患者196例,根据有无营养风险分为有营养风险组(35例)和无营养风险组(161例)。分析患者的性别和相关生化指标(血红蛋白、糖化血红蛋白、白蛋白、总胆固醇、甘油三酯、尿素氮和肌酐)在有、无营养风险患者中的差异,采用多元logistic回归分析研究营养风险的独立影响因素。  结果  不同性别患者营养风险的发生差异无统计学意义(P>0.05)。相关临床生化检测结果显示,有营养风险的T2DM患者血清血红蛋白、白蛋白、尿素氮、肌酐分别为(122.29±10.07)g/L、(40.98±3.61)g/L、(6.97±0.16)mmol/L、(86.91±5.96)mmol/L,与无营养风险患者比较差异均有统计学意义[(128.15±9.96)g/L、(43.38±4.34)g/L、(5.81±0.92)mmol/L、(79.75±8.56)mmol/L,P<0.05];有、无营养风险患者糖化血红蛋白、总胆固醇及血清甘油三酯比较差异均无统计学意义(P>0.05)。多元logistic回归分析显示,血红蛋白、白蛋白和肌酐是T2DM患者发生营养风险的影响因素。  结论  应用NRS2002评估T2DM患者营养状况,血红蛋白、白蛋白和肌酐水平是T2DM患者发生营养风险的影响因素。

     

  • 表  1  不同性别T2DM患者营养风险比较[例(%)]

    Table  1.   Comparison of nutritional risks between T2DM patients in different genders[cases (%)]

    性别 例数 有营养风险 无营养风险
    男性 105 19(18.1) 86(81.9)
    女性 91 16(17.6) 75(82.4)
    注:χ2=0.009,P=0.926。
    下载: 导出CSV

    表  2  有无营养风险T2DM患者生化指标比较(x±s)

    Table  2.   Comparison of biochemical indicators in patients with and without nutritional risk(x±s)

    组别 例数 血红蛋白(g/L) 白蛋白(g/L) 前白蛋白(mg/L) 糖化血红蛋白(%) 尿素氮(mmol/L) 肌酐(mmol/L) 总胆固醇(mmol/L) 甘油三酯(mmol/L)
    有营养风险 35 122.29±10.07 40.98±3.61 168.58±9.53 11.89±1.37 6.97±0.16 86.91±5.96 5.43±0.66 1.57±0.40
    无营养风险 161 128.15±9.96 43.38±4.34 181.20±48.88 10.89±6.15 5.81±0.92 79.75±8.56 5.26±0.48 1.49±0.26
    t 3.147 3.062 1.528 0.950 7.482 4.699 1.729 1.432
    P 0.002 0.003 0.131 0.343 < 0.001 < 0.001 0.085 0.154
    下载: 导出CSV

    表  3  T2DM患者发生营养风险影响因素的logistic回归分析

    Table  3.   Logistic regression analysis of factors influencing nutritional risk in T2DM patients

    变量 B SE Waldχ2 P OR(95% CI)
    血红蛋白 0.101 0.031 10.632 0.001 1.107(1.041~1.176)
    白蛋白 0.191 0.071 7.121 0.008 1.210(1.052~1.392)
    尿素氮 0.000 0.003 0.020 0.888 1.000(0.995~1.006)
    肌酐 -0.254 0.053 22.600 < 0.001 0.776(0.698~0.861)
    下载: 导出CSV
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  • 收稿日期:  2023-09-06
  • 网络出版日期:  2024-03-09

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