摘要
目的了解营养不良在综合性医院各病区的分布规律。方法对解放军总医院1401例住院患者进行人体测量及实验室检查。结果①体质量指数低于18.0kg/m2的患者主要分布于外科;体质量指数大于25.0kg/m2者,见于大多数科室,约占全部住院患者的1/3。②血清总蛋白低于60g/L、血清白蛋白低于35g/L以及血总淋巴细胞数低于1.5×109L-1的患者主要分布于内科。③低血红蛋白的患者主要分布于特一病房。④用血总淋巴细胞数来判断营养不良时其发病率最高,以体质量指数判断时,发病率最低,且仅对外科较敏感。结论营养不良发病率较高的病区主要为内科、特一病房。消瘦的患者主要集中于外科。肥胖的患者占全部住院患者的1/3,特一病房最多。在评价患者营养不良发生率参数方面,比较敏感的参数指标是血总淋巴细胞数,血红蛋白、血清白蛋白,血清总蛋白不敏感,体质量指数只对外科患者敏感。
AIM:To esplore the distribution of malnutrition in different fields of the general hospital.METHODS:Totally 1 401 inpatients of Chinese PLA General Hospital received anthropometry and laboratory examination.RESULTS:①The patients with body mass index(BMI) less than 18.0 kg/m2 were mainly distributed in surgical departments,while the patients with BMI more than 25.0 kg/m2 were found in most departments,being about one third of all patients.②The patients with serum total protein(TP) less than 60 g/L,albumin(ALB) less than 35 g/L and total lymphocyte(TLC) less than 1.5×109/L in blood were mostly distributed in the departments of internal medicine.③The patients with lower hemoglobin(HGB) were mainly distributed in the first special care units.④Incidence of malnutrition was the highest when assessed by TLC,and the lowest when assessed by BMI which was only sensitive to surgical departments.CONCLUSION:The zones with the highest incidence rate of malnutrition were department of internal medicine and first special care units.The patient with marasmus were mainly in surgical department.Obese patients were mainly in the first special care units,which occupied one third of the whole patients.As the parameters for assessment of malnutrition,TLC,HGB and ALB are sensitive,TP is less sensitive and BMI is only sensitive to hte patients of surgical departments.
出处
《中国临床康复》
CSCD
2004年第23期4700-4701,共2页
Chinese Journal of Clinical Rehabilitation
