[1]阿丽玛,杨 帆,徐毛冶,等.542例慢性呼吸系统疾病住院病人营养状况调查分析[J].肠外与肠内营养杂志,2021,(01):16-20.[doi:10.16151/j.1007-810x.2021.01.004]
　Alima,YANG Fan,XU Mao-ye,et al.Analysis of nutritional status of 542 hospitalized patients with chronic respiratory diseases[J].PARENTERAL & ENTERAL NUTRITION,2021,(01):16-20.[doi:10.16151/j.1007-810x.2021.01.004]
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542例慢性呼吸系统疾病住院病人营养状况调查分析
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2021年01期
页码:
16-20
栏目:
论著
出版日期:
2021-01-10

文章信息/Info

Title:
Analysis of nutritional status of 542 hospitalized patients with chronic respiratory diseases
作者:
阿丽玛1; 杨 帆1; 徐毛冶2; 王 欢1; 郭瑞芳1; 孙德俊2
内蒙古自治区人民医院，1.临床营养中心；2.呼吸与危重症医学科，内蒙古呼和浩特010017
Author(s):
Alima1;  YANG Fan1;  XU Mao-ye2;  WANG Huan1;  GUO Rui-fang1;  SUN De-jun2
1.Clinical Nutrition Center; 2.Department of Respiratory and Critical Care Medicine, Inner Mongolia People's Hospital, Huhehot 010017, Inner Mongolia Autonomous Region, China
关键词:
营养风险筛查 ; 营养评估 ; 营养不良 ; 慢性呼吸系统疾病病人
Keywords:
Nutritional Risk Screening;  Nutritional assessment;  Malnutrition;  Chronic respiratory disease
分类号:
R459.3，R151.4
DOI:
10.16151/j.1007-810x.2021.01.004
文献标志码:
A
摘要:
目的：对慢性呼吸系统疾病病人进行营养风险筛查与评估，分析相关的营养不良危险因素，及早预测和发现营养不良的发生。 方法：采用横断面调查法，对内蒙古自治区人民医院呼吸与危重症医学科新入院病人进行营养风险筛查与评估，应用营养风险筛查2002（NRS 2002）、SGA评分表、膳食调查自评表等进行营养状况评价、并收集入院时实验室检查结果，纳入年龄、吸烟史及受教育程度等因素进行统计分析。 结果：全年新入院病人2 022例，排除不符合标准后纳入542例。根据SGA评分分组，性别、吸烟、年龄及膳食评分均与病人营养不良相关，差异具有统计学（P < 0.05）。对比不同疾病病人的营养状况，发现肺癌病人重度营养不良病人比例高于其他慢性呼吸系统疾病病人，支气管扩张病人营养良好比例较高（P < 0.05）。慢阻肺及肺癌病人白蛋白、前白蛋白水平低于其他慢性呼吸系统疾病病人、而C反应蛋白水平高于其他慢性呼吸系统疾病病人，支气管扩张病人血红蛋白低于其他慢性呼吸系统疾病病人，差异均有统计学意义（P < 0.05）。 结论：慢性呼吸系统疾病病人营养风险和营养不良发生率较高，尤其是慢阻肺病人，应足够重视早期筛查与评价。
Abstract:
Objective: To screen and evaluate nutritional risks in patients with chronic respiratory diseases, to analyze the related risk factors of malnutrition, and to improve the clinical outcome. Methods: A cross-sectional survey was conducted to screen and evaluate the nutritional risk of newly admitted patients in the Department of Respiratory and Critical Care Medicine of Inner Mongolia Autonomous Region People's Hospital. The nutritional risk screening 2002(NRS 2002), SGA score sheet, self-evaluation table of dietary survey, etc. were applied. The nutritional status was evaluated and the parameters including age, smoking history and education level, which may affect the nutritional status of patients with chronic respiratory diseases, were statistically analyzed. Results: A total of 2 022 patients were newly admitted to the respiratory department, among which 542 cases were included for the final analysis. Patients were divided into different groups according to SGA scores. It was found that gender, smoking, age, and diet score were all significantly associated with malnutrition (P < 0.05). The proportion of lung cancer patients with severe malnutrition was significantly higher than that of other chronic respiratory diseases (P < 0.05). The levels of albumin and prealbumin in patients with chronic obstructive pulmonary disease (COPD) and lung cancer were significantly lower than those in patients with other chronic respiratory diseases (P < 0.05). The levels of CRP in patients with COPD and lung cancer were significantly lower than those in patients with other chronic respiratory diseases (P < 0.05). The levels of hemoglobin in patients with bronchiectasis was significantly lower than those in patients with other chronic respiratory diseases (P < 0.05). Conclusion: The incidence of nutritional risk and malnutrition in patients with chronic respiratory diseases were high. For these patients, especially for patients with COPD, we should pay enough attention to early screening and evaluation.

参考文献/References:


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备注/Memo

备注/Memo:
基金项目 ：国家自然科学基金（8196001）；内蒙古自治区人民医院院内基金（201801） 作者简介 ：阿丽玛，主治医师，医学硕士，主要从事营养相关疾病的基础和临床研究。E-mail：alima9508@126.com 通讯作者 ：孙德俊，E-mail：sdj1122@vip.sina.com
更新日期/Last Update: 1900-01-01