慢性阻塞性肺疾病急性发作并发呼吸衰竭病人的营养风险筛查及预后分析

发布时间：2018-06-23 00:52

  本文选题：慢性阻塞性肺疾病急性发作 + 危重症　； 参考：《肠外与肠内营养》2014年03期

【摘要】：目的:分析慢性阻塞性肺疾病急性发作(AECOPD)并发呼吸衰竭病人的营养风险及与预后的关系。方法:对114例AECOPD并发呼吸衰竭病人进行回顾性营养风险筛查,按病人的营养状况分为营养不足组和非营养不足组;再按病人的预后分为病死组和存活组。分别观察组间的体重指数(BMI)、NRS2002评分、APACHEⅡ评分、机械通气率、脱机成功率、病死率的差异。进一步分析病死组和存活组的NRS2002评分、前清蛋白、清蛋白、淋巴细胞计数、APACHEⅡ评分。结果:AECOPD并发呼吸衰竭病人营养风险发生率达100%,营养不足发生率为59.65%。营养不足组病人的NRS2002评分、机械通气率、脱机成功率与非营养不足组比有显著性差异(P0.05)。而病死组与存活组间NRS2002评分、清蛋白、APACHEⅡ评分亦存在统计学差异(P0.05)。结论:AECOPD并发呼吸衰竭病人是营养风险和营养不足的高发人群,营养状况影响着疾病的进展和预后。
[Abstract]:Objective: to analyze the relationship between nutritional risk and prognosis in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) complicated with respiratory failure. Methods: 114 patients with AECOPD complicated with respiratory failure were screened for nutritional risk. According to the nutritional status of the patients, they were divided into two groups: undernourished group and non-undernourished group, and then divided into death group and survival group according to the prognosis of the patients. Body mass index (BMI), NRS2002 score, Apache 鈪，

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