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  

Nutritional risk screening and prognostic analysis in AECOPD patients with respiratory failure

作　　者：周丹丹[1] 朱宝华[2] 张蓓蓓[1] 高伟[1] 陈浩[1] 

机构地区：[1]江苏省中西医结合医院重症医学科,江苏南京210028 [2]南京市市级机关医院重症医学科,江苏南京210011

出　　处：《肠外与肠内营养》2014年第3期158-160,共3页Parenteral & Enteral Nutrition

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(P<0.05)。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(P<0.05)。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。Objective：To investigate the correlation between nutritional status of AECOPD patients with respiratory failure and their prognosis.Methods：114 AECOPD patients with respiratory failure were enrolled in retrospective nutrition risk screening.Body mass index（BMI）,NRS2002 score,APACHE Ⅱ score,mechanical ventilation rate,weaning success rate,and mortality were observed.Results：Incidence rate of nutrition risk was 100% in AECOPD patients with respiratory failure,while incidence of nutritional deficiencies was 59.65%.NRS2002 score,mechanical ventilation rate,and weaning success rate were significantly different （P 〈 0.05） between malnutrition and non-malnutrition groups.There was also a statistic significance （P 〈 0.05）in NRS2002 score,plasma albumin,and APACHE Ⅱ score between survival and death groups.Conclusion：AECOPD patients with respiratory failure have high risk of malnutrition.Nutritional status has influences on disease progression and prognosis.

关 键 词：慢性阻塞性肺疾病急性发作 危重症 营养风险筛查 

分 类 号：R563[医药卫生—呼吸系统] R459.3[医药卫生—内科学]