| 宝娜,林萍,王琴.老年带状疱疹患者营养状态与疱疹疼痛的相关性分析[J].浙江中西医结合杂志,2023,33(4): |
| 老年带状疱疹患者营养状态与疱疹疼痛的相关性分析 |
| Correlation analysis of nutritional status and herpes pain in elderly patients with herpes zoster |
| 投稿时间：2022-07-06 修订日期：2022-09-22 |
| DOI： |
| 中文关键词: 老年带状疱疹 人体成分分析 营养评估 体脂肪含量 骨骼肌含量 带状疱疹性疼痛 |
| 英文关键词:senile herpes zoster Human body composition analysis Nutritional assessment Body fat content Skeletal muscle content Herpes zoster pain |
| 基金项目:浙江省中医药科技计划重点研究项目(2022ZZ029) ；杭州市科技局项目(2021WJCY054)；杭州市医学重点学科建设项目 |
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| 中文摘要: |
| 目的：通过人体成分分析的方法对老年带状疱疹患者进行营养评估，分析人体成分中体脂肪含量和骨骼肌含量与老年带状疱疹患者疼痛数字评定量表的相关性。方法：选择2021年11月-2022年3月于杭州市第三人民医院皮肤科、老年科、疼痛科住院的老年带状疱疹患者100例，患者入院时即进行疼痛数字评定量表评估，并使用In Body S10人体成分分析仪进行营养评估，在出院3个月后随访患者带状疱疹后遗神经痛的情况。结果：五种人体成分指标评估营养不足差异有统计学意义（X2＝53.391，P＜0.01），其中，体脂肪量评估出营养不良的比率最高，骨骼肌次之。根据部位不同，我们分析得出患者不同节段肌肉营养不足率差异有统计学意义（P＜0.05）。另外，在回归分析中体脂肪含量过剩组和骨骼肌含量不足组与老年带状疱疹患者急性期NRS评分存在线性相关（β=0.484，β=0.568，P均＜0.05），并且在3个月后的随访中发现，体脂肪和骨骼肌对老年带状疱疹患者发生带状疱疹后遗神经痛的影响具有统计学意义（OR=1.141, P＜0.05；OR=0.897, P＜0.05）。结论：老年带状疱疹患者营养不足以体脂肪和骨骼肌为主，并且骨骼肌的节段分布不均，体脂肪和骨骼肌是老年带状疱疹患者急性期疼痛和带状疱疹后遗神经痛发生的重要影响因素。 |
| 英文摘要: |
| Objective: The nutrition of the elderly patients with herpes zoster was evaluated by the method of human body composition analysis, and the correlation between the body fat content and skeletal muscle content in the human body composition and the pain digital rating scale of the elderly patients with herpes zoster was analyzed. Methods: 100 elderly patients with herpes zoster hospitalized in the dermatology department, geriatrics department and pain department of the third people's Hospital of Hangzhou from November 2021 to March 2022 were selected. The patients were assessed with the pain digital rating scale at the time of admission, and the nutritional evaluation was performed with the in body S10 human composition analyzer. The patients were followed up three months after discharge. Results: There were statistically significant differences among the five human body composition indexes (x 2＝ 53.391, P < 0.01). Among them, the rate of malnutrition assessed by body fat was the highest, followed by skeletal muscle. According to the different parts, we analyzed that there was a statistically significant difference in the rate of muscular dystrophy in different segments of the patients (P < 0.05). In addition, in the regression analysis, there was a linear correlation between the excess body fat content group and the insufficient skeletal muscle content group and the acute NRS score of elderly patients with herpes zoster（ β= 0.484， β= 0.568, P < 0.05), and in the follow-up after 3 months, it was found that the influence of body fat and skeletal muscle on the occurrence of postherpetic neuralgia in elderly patients with herpes zoster was statistically significant (or = 1.141, P < 0.05; or = 0.897, P < 0.05). Conclusion: Body fat and skeletal muscle are the main nutritional deficiencies in elderly patients with herpes zoster, and the segmental distribution of skeletal muscle is uneven. Body fat and skeletal muscle are important influencing factors of acute pain and postherpetic neuralgia in elderly patients with herpes zoster. |
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