营养状况与急性缺血性脑卒中合并2型糖尿病患者预后的关系

Journal of Society Medicine Pub Date : 2023-01-12 DOI:10.47353/jsocmed.v2i1.26

Siti Alimahtun Sodiah Chaniago, I. Nasution, I. Nasution

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引用次数: 0

摘要

中风是一种突发性神经功能障碍，2型糖尿病使中风的风险增加两倍。除了影响身体和精神能力外，中风还会导致营养状况下降。在所有脑卒中亚型中，营养不良都与功能不良相关。控制营养状态(CONUT)评分是一种客观的营养指标，由于其对营养状况的综合评价，可以反映营养不良状况。本研究旨在发现营养状况与急性缺血性脑卒中合并2型糖尿病患者预后之间的关系。方法:采用前瞻性队列设计的观察性分析研究，连续收集哈吉亚当马利克综合医院卒中角室、重症监护病房和住院病房符合纳入标准的急性缺血性卒中和2型糖尿病患者的第一手资料。采用CONUT评分测量患者的营养状况，采用mRS评分测量患者的预后。采用Spearman相关检验评估急性缺血性脑卒中合并2型糖尿病患者营养状况与预后的关系。结果:符合纳入标准的患者43例，其中男性22例(51.2%)，51 ~ 65岁23例(53.5%)，平均年龄57.93 + 10.01岁，家庭主妇15例(34.9%)，Bataknese 27例(62.8%)。本研究中大多数患者为轻度营养不良，共有15人(34.9%)，CONUT评分中位数为3(0-11)，预后不良的患者多达29人(67.4%)，mRS评分中位数为4(0-6)。Spearman相关检验结果显示，急性缺血性脑卒中合并2型糖尿病患者的营养状况与预后有显著相关性，相关性中等。结论:营养状况与急性缺血性脑卒中合并2型糖尿病患者预后有显著相关性，且相关性为中等

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The Association of Nutrition Status Towards The Outcome of Acute Ischemic Stroke Patients with Type-2 Diabetes Mellitus

Introduction: Stroke is a sudden-onset neurologic deficit and having a type 2 diabetes increases the risk of stroke twice as much. In addition to affecting physical and mental abilities, stroke can also lead to a decline in nutritional status. Malnutrition is associated with poor functional outcomes in all stroke subtypes. The Controlling Nutritional Status (CONUT) score is an objective nutritional marker and could reflects malnutrition due to its comprehensive assessment of nutritional status. This study aims to find the association between nutritional status towards the outcome of acute ischemic stroke patients with type 2 diabetes. Method: This was an observational analytic study with prospective cohort design using primary data collected consecutively from patients with both acute ischemic stroke and type 2 diabetes mellitus who were hospitalized in the Stroke Corner Room, Intensive Care Unit (ICU) and inpatient ward of Haji Adam Malik General Hospital who met the inclusion criteria. The nutritional statuses of patients were measured using the CONUT score and patients outcomes were measured by mRS score. Spearman correlation test was used to assess the association between nutritional status and outcome of acute ischemic stroke patients with type 2 diabetes mellitus. Results: There were 43 patients who met the inclusion criteria where the majority of patients were male 22 people (51.2%), in the age group 51-65 years 23 people (53.5%) with a mean age of 57.93 + 10.01, was a housewife 15 people (34.9%) and Bataknese 27 people (62.8%). The majority of patients in this study had mild malnutrition with a total of 15 people (34.9%) and a median CONUT score of 3 (0-11) and poor outcome as many as 29 people (67.4%) with mRS score median 4 (0-6). The result of Spearman correlation test showed a significant correlation between nutritional status and the outcome of acute ischemic stroke patients with type 2 diabetes mellitus with a moderate correlation. Conclusion: There was a significant correlation between nutritional status and the outcome of acute ischemic stroke patients with type 2 diabetes mellitus with a moderate correlation

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Journal of Society Medicine

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