Tình trạng dinh dưỡng của người bệnh tim mạch trước phẫu thuật tại bệnh viện Hữu nghị Việt Đức năm 2018

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Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2020

Mô tả vật lý: tr.88-97

Bộ sưu tập: Metadata

ID: 320865

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Mục tiêu: Đánh giá tình trạng dinh dưỡng của người bệnh tim mạch trước phẫu thuật tại khoa phẫu thuật Tim mạch và lồng ngực bệnh viện Hữu Nghị Việt Đức năm 2018. Mô tả một số yếu tố liên quan đến tình trạng dinh dưỡng của người bệnh tim mạch trước phẫu thuật tại khoa phẫu thuật Tim mạch và lồng ngực bệnh viện Hữu nghị Việt Đức năm 2018. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang, sử dụng phương pháp BMI (Body Mass Index - chỉ số khối cơ thể), SGA (Subjective Globan Assessment - phương pháp đánh giá tổng thể chủ quan) và xét nghiệm Albumin và Prealbumin trên 110 người bệnh tim mạch trước phẫu thuật tại khoa Phẫu thuật Tim mạch và lồng ngực bệnh viện Việt Đức từ tháng 3 đến tháng 7 năm 2018. Kết quả: Tỷ lệ người bệnh suy dinh dưỡng (SDD) trường diễn theo chỉ số khối cơ thể (BMI) dưới 18,5kg/m2 là 20%, SDD theo Albumin, Prealbumin lần lượt là 21,8%
43,6%
SDD theo phương pháp đánh giá tổng thể chủ quan (SGA) là 45,5%. Người bệnh trong lứa tuổi 18-39 có nguy cơ SDD cao gấp 3,66 lần so với lứa tuổi 40-59 theo phương pháp đánh giá BMI
nam giới có nguy cơ SDD cao gấp 2,54 lần so với nữ giới theo phương pháp đánh giá SGA. Kết luận và khuyến nghị: Người bệnh tim mạch trước phẫu thuật cần được đánh giá tình trạng dinh dưỡng một cách toàn diện kết hợp giữa các phương pháp nhân trắc, lâm sàng và sinh hóa để đưa ra chỉ định và can thiệp dinh dưỡng cho người bệnh một cách kịp thời và hiệu quả.Objectives: This study aims to evaluate the nutritional status of preoperative cardiovascular patients at Viet Duc hospital in 2018. Describe some factors related to nutritional status of preoperative cardiovascular patients at Viet Duc hospital in 2018. Subjects and research methods: A cross-sectional study was conducted on 110 preoperative cardiovascular patients between March and July 2018. The nutritional status of preoperative cardiovascular patients was evaluated by BMI method (Body Mass Index), SGA (Subjective Globan Assessment) and Albumin and Prealbumin test. Result: Prevalence of chronic malnutrition by BMI was 20%. The proportion of malnutrition by Albumin and Prealbumin test were 21.8%
43.6%. By SGA method, the proportion of malnutrition was 45.5%. Conclusions and recommendation: The preoperative cardiovascular patients should be evaluated for nutritional status in a comprehensive manner, combining anthropological, clinical and biochemical methods to be provided nutritional indication and appropriate, effective intervention. Patients aged 18-39 at risk of malnutrition, higher than 3.66 times compared with the 40-59 age group according to BMI
men at risk of malnutrition, higher than 2.54 times that of female according to SGA assessment.

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