İnmeli Hastalarda Malnütrisyon ve Disfajinin Önemi
Amaç: İnmeli hastalarda disfaji sıklığı ile inmeli hastaların beslenme durumlarının araştırılması ve malnütrisyonun tıbbi durumlara etkisini incelemek.
Gereç ve Yöntemler: Çalışma prospektif, kesitsel olarak planlanmıştır. İnme tanısı ile rehabilitasyon programına alınan 40-80 yaş aralığında 60 hasta çalışmaya dahil edilmiştir. İnmeli hastaların yaş, cinsiyet, boy, kilo, beden kitle indeksi (BKİ), inme sonrası kilo kaybı ve disfaji varlığı ve hastaların inme süresi (ay olarak) not edilmiştir. İnmeli hastaların nütrisyonel durumları; serum albümin ve lenfosit düzeyleri, hasta başı EAT-10 yutma fonksiyonu tarama testi, Nütrisyon risk indeksi (NRI), Prognostik nütrisyonel indeks (PNI), Nottingham nütrisyonel tarama testi (NTT) ile değerlendirilmiştir. Hastaların fonksiyonel durumları Brunnstrom ve FAS evrelemesi ile değerlendirilmiştir.
Bulgular: Hastalar NRI=97.5 değeri temel alınarak ‘düşük malnütrisyon’ veya ‘malnütrisyon yok’ bir grup; orta veya ağır malnütrisyon bir grup olacak şekilde ikiye ayrıldığında inme süresi (p=0.041), yaş (p
The Importance of Malnutrition and Dysphage in Patient With Stroke
Objective: To investigate the frequency of dysphagia in stroke patients and nutritional status of stroke patients and to examine the effects of malnutrition on medical conditions.
Material and Methods: The study was planned prospectively and cross-sectionally. Sixty patients between the ages of 40-80 who were taken to the rehabilitation program with a diagnosis of stroke were included in the study. Age, gender, height, weight, body mass index (BMI), post-stroke weight loss and presence of dysphagia and duration of stroke (in months) of patients with stroke were noted. Nutritional status of stroke patients; serum albumin and lymphocyte levels were evaluated by bedside EAT-10 swallowing function screening test, Nutrition risk index (NRI), Prognostic nutritional index (PNI), Nottingham nutritional screening test (NTT). The functional status of the patients was evaluated by Brunnstrom and FAS staging.
Results: The patients are a group of “low malnutrition” or “no malnutrition” based on NRI = 97.5; When we divided them into two groups as a medium or severe malnutrition group, stroke duration (p=0.041), age (p
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