Abstract：Objective: To explore the current situation and influencing factors of malnutrition risk in patients with type 2 diabetes mellitus complicated with macroangiopathy, to provide a basis for formulating malnutrition prevention and intervention measures. Methods: 554 patients with type 2 diabetes admitted to the Department of Endocrinology of our hospital from July 2020 to June 2021 were selected. After admission, whether they were complicated with the macrovascular disease was evaluated. At the same time, the nutritional risk of all patients was evaluated by NSR2002. Among the patients with the macrovascular disease, patients with NSR ≥ 3 were included in the risk group and patients with NSR<3 were included in the control group. The related data of the two groups were compared, and the related factors that may cause the risk of malnutrition were analyzed by logistic multifactor analysis. Results: Among 554 patients with type 2 diabetes in this study, 447 patients were complicated with macroangiopathy, and the detection rate of macroangiopathy was 80.7%; according to the evaluation of NSR2002, 138 of all patients had malnutrition risk, and the detection rate of malnutrition risk was 24.9%. Among 447 diabetes patients with the macrovascular disease, 122 patients at risk of malnutrition were included in the risk group, while the other 325 patients without malnutrition risk were included in the control group. There were significant differences in body mass index, blood urea nitrogen level, albumin level, prealbumin level, triglyceride level, and glycosylated hemoglobin level between the two groups. At the same time, the hospitalization time of patients in the risk group was significantly longer than that of patients in the control group; the difference was statistically significant (P<0.05). After the analysis of the logistic multivariate regression analysis model, it was found that low body mass index, low albumin, low triglyceride, and high glycosylated hemoglobin were the risk factors affecting the risk of malnutrition in patients, and the difference was statistically significant (P<0.05). Conclusion: Type 2 diabetes combined with macroangiopathy has a high detection rate and more patients are at risk of malnutrition. Active clinical interventions to identify associated risk factors are valuable in improving patient prognosis.
黄秋菊, 吴军, 林双, 赖璐华. 2型糖尿病合并大血管病变患者营养不良风险现状及影响因素研究[J]. 河北医学, 2022, 28(9): 1502-1505.
HUANG Qiuju, WU Jun, LIN Shuang, et al. Study on the Current Status of Malnutrition Risk and Factors Affecting Patients with Type 2 Diabetes Mellitus Combined with Macroangiopathy. HeBei Med, 2022, 28(9): 1502-1505.
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2022, Vol. 28 
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