相位角预测手术病人营养风险及住院时间

发布时间：2018-03-16 02:15

  本文选题：相位角　切入点：人体成分　出处：《肠外与肠内营养》2017年05期 　论文类型：期刊论文

【摘要】：目的:探讨生物电阻抗相位角(phase angle,PA)与胸外手术病人营养风险、住院时间(hospital length of stay,LOS)的关系。方法:60例胸部手术病人,应用营养风险筛查2002(NRS2002)、主观全面评定(Subjective Global Assessment,SGA)、白蛋白、人体成分分析、PA评价其营养风险及LOS。结果 :与对照组比较,手术病人PA偏低,男(6.0±1.0)vs(3.85±1.0),女(5.4±0.9)vs(4.9±0.6),P0.01。与正常PA比较,低PA者营养风险相对危险度,用NRS2002。无风险(RR 2.8,95%CI=1.2~6.9),中度风险(RR 3.9,95%CI=1.8~8.6),重度风险(RR4.2,95%CI=2.0~8.7);用SGA。营养良好(RR 2.5,95%CI=0.9~6.9),中度营养不良(RR 4.4,95%CI=2.1~9.4),重度营养不良(RR 3.9,95%CI=1.9~8.0),与NRS2002相似;与正常PA比较,低PA者住院时间倾向于延长(LOS≥21 d,RR=4.4,95%CI=2.2~8.8)。结论 :低PA与手术病人营养风险、LOS延长密切关联。PA测量有助于快速明确病人的营养风险对于确定病人营养干预和判断疾病转归提供了客观依据。
[Abstract]:Objective: to investigate the relationship between phase angle of bioelectric impedance phase angle (PAPA) and nutritional risk, hospital length of stay-losse in patients undergoing extrathoracic surgery. Methods: 60 patients undergoing thoracic surgery were screened for NRS2002.Subjective Global assessment (SGA, albumin) was evaluated by nutritional risk screening. Results: compared with control group, PA was lower in surgical patients than in control group (6.0 卤1.0 vs 3.85 卤1.0), and in female was 5.4 卤0.9 vs 4.9 卤0.6P 0.01.Compared with normal PA, the relative risk of nutrition in patients with low PA was higher than that in control group. With NRS 2002. RRR 2.895 CI1. 2 / 9, moderate risk RR 3. 9 / 95 CI1. 8, heavy risk RR4. 2 / 95 CII 2. 0 ~ 8. 7; SGA. good nutrition RR 2. 595 / CI0.96.9; moderate malnutrition RR 4. 4 / 95CI2. 1 / 9.4; severe malnutrition RR 3. 9 / 95 CI1.90, similar to NRS2002; compared with normal PA, Low PA patients tended to prolong Los 鈮，

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