[1]岳向峰,阚琳玮,葛艳慧,等.GLIM诊断老年慢阻肺急性加重病人营养不良患病率研究[J].肠外与肠内营养杂志,2022,(06):347-350.[doi:10.16151/j.1007-810x.2022.06.005]
　YUE Xiang-Feng,KAN Lin-wei,GE Yan-hui,et al.Prevalence of malnutrition diagnosed by GLIM in elderly patients with acute exacerbation of chronic obstructive pulmonary disease[J].PARENTERAL & ENTERAL NUTRITION,2022,(06):347-350.[doi:10.16151/j.1007-810x.2022.06.005]
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GLIM诊断老年慢阻肺急性加重病人营养不良患病率研究
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2022年06期
页码:
347-350
栏目:
论著
出版日期:
2022-11-10

文章信息/Info

Title:
Prevalence of malnutrition diagnosed by GLIM in elderly patients with acute exacerbation of chronic obstructive pulmonary disease
作者:
岳向峰 1; 阚琳玮 1; 葛艳慧 1; 陈晓旭 1; 刘秋红 2; 杜书章 1
郑州大学第一附属医院，1.药学部；2.呼吸与危重症医学科，河南郑州 450052
Author(s):
YUE Xiang-Feng1;  KAN Lin-wei1;  GE Yan-hui1;  CHEN Xiao-xu1;  LIU Qiu-hong2;  DU Shu-zhang1
1. Department of pharmacy; 2. Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052,Henan, China
关键词:
慢阻肺急性加重 ; 营养风险 ; 营养不良 ; 营养风险筛查2002 ; GLIM
Keywords:
Acute exacerbation of chronic obstructive pulmonary disease;  Nutritional risk;  Malnutrition;  Nutritional risk screening 2002;  Global leadership initiative on malnutrition criteria
分类号:
R563.9
DOI:
10.16151/j.1007-810x.2022.06.005
文献标志码:
A
摘要:
目的：调查全球领导人营养不良倡议（GLIM）标准诊断老年慢阻肺急性加重病人营养不良患病率，探讨GLIM标准诊断营养不良的可行性。 方法：回顾性收集郑州大学第一附属医院2017年2月至4月期间入院诊断为慢性阻塞性肺疾病急性加重病人的基本信息、NRS 2002筛查结果以及相关病历资料，分别按照GLIM标准、ESPEN标准、CSPEN标准对病人进行营养不良诊断。 结果：调查期间共连续收集慢阻肺急性加重病人210例，有140例病人符合纳排标准，采用NRS 2002工具筛查营养风险患病率为42.1%。有营养风险的病人中，采用GLIM标准诊断营养不良患病率为33.6%、重度营养不良患病率为13.6%；采用ESPEN标准和CSPEN标准诊断营养不良患病率分别为20.7%、12.1%，低于GLIM标准诊断的营养不良患病率（P < 0.05）。一致性分析结果显示，GLIM标准诊断老年AECOPD病人营养不良患病率与ESPEN标准有高度一致性（Kappa值0.68，95%CI：0.55 ~ 0.81，P < 0.001），与CSPEN标准有中度一致性（Kappa值0.43，95%CI：0.28 ~ 0.58，P < 0.001）。 结论：老年慢阻肺急性加重病人营养不良患病率高。对于老年慢阻肺急性加重住院病人来说，GLIM标准可能是合适且有效的营养不良诊断工具，但需要进一步的前瞻性临床有效性研究验证。
Abstract:
Objective: To investigate the prevalence of malnutrition diagnosed by GLIM criteria in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Method: The hospitalized patients diagnosed with AECOPD in the First Affiliated Hospital of Zhengzhou University from February 2017 to April 2017 were collected retrospectively. The GLIM criteria, ESPEN criteria, and CSPEN criteria were applied in the assessment of malnutrition in patients. Results: A total of 210 patients were admitted to 11 Respiratory Medicine Departments of our hospital, and 140 patients met the inclusion criteria. Among patients enrolled in the study, the prevalence of nutritional risk was 42.1%. However, 47 cases (33.6%) were assessed as malnutrition and 19 cases (13.6%) were assessed as severe malnutrition via the GLIM criteria, 29 cases (20.7%) were assessed as malnutrition via ESPEN criteria, and 17 cases (12.1%) were assessed as malnutrition via CSPEN criteria. Compared to the ESPEN criteria and CSPEN criteria, the GLIM criteria were more effective in identifying AECOPD patients with malnutrition (P < 0.05). When compared to the ESPEN criteria, the GLIM criteria showed a good concordance (K = 0.68, 95% CI 0.55 ~ 0.81, P < 0.001). Besides, the GLIM criteria had a fair concordance (K = 0.43, 95% CI 0.28 ~ 0.58, P < 0.001) with the CSPEN criteria. Conclusion: The prevalence of malnutrition was high in elderly AECOPD patients. GLIM criteria may be an appropriate and effective tool to identify malnutrition in the elderly AECOPD patients due to its substantial concordance with ESPEN and a fair concordance with CSPEN criteria.

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备注/Memo

备注/Memo:
作者简介 ：岳向峰，副主任医师，注册营养师，医学硕士,从事住院病人的肠外肠内营养治疗工作。E-mail：yuefeng8357@163.com 通讯作者 ：杜书章，E-mail：dushuzhang911@163.com
更新日期/Last Update: 1900-01-01