摘要
目的评估合并甲状腺功能减退脑卒中患者在治疗期间的营养状况及其与预后的关系。方法回顾性分析比较了28例合并甲状腺功能减退（研究组）和28例甲状腺功能正常急性脑卒中患者（对照组）的临床资料。结果住院（104-4）d时，研究组患者的血红蛋白和血清白蛋白水平明显低于住院前（P〈0．05），其住院天数、肺部感染、消化道出血和腹泻发生率及对营养支持治疗的热量和蛋白质量均明显高于对照组（P〈0．05）。结论合并甲状腺功能减退脑卒中患者的营养状况较差，易出现临床并发症且预后不佳，应及时和足量给予营养支持。
Objective To evaluate the nutrition status and the prognosis of acute stroke patients with hy- pothyroidism during hospitalization. Methods The clinical data of 28 acute stroke patients with hypothyroidism （study group） and 28 stroke patients with normal thyroid function （control group） were retrospectively analyzed. Results After （ 10 ＋ 4） days of hospitalization, hemoglobin and serum albumin levels in study group significantly decreased （ P 〈 0. 05 ）. The requirement of calories and protein, incidence of pulmonary infections, alimentary tract hemorrhage and diarrhea, and hospital stays were significantly higher in study group than in control group （ P 〈 0.05 ） ）. Conclusion The nutrition status is poor in acute stroke patients with hypothyroidism, who were more easier to be suffered from clinical complications and worse prognosis.
出处
《中华临床营养杂志》
CAS
2009年第2期98-100,共3页
Chinese Journal of Clinical Nutrition
