重症全身性炎症反应综合征患者营养风险筛查及补硒治疗分析  

The nutritional risk screening and treatment analysis of selenium supplement of patients with systemic inflammatory response syndrome of severe systemic inflammation

作　　者：王爱芹[1] 信淑珍[1] 刘新平[1] 左怀云[1] 卢艳霞[1] 王墨林[2] 

机构地区：[1]滨州市人民医院重症医学科,山东滨州256610 [2]山东大学医学院

出　　处：《中国地方病防治》2016年第4期421-423,共3页Chinese Journal of Control of Endemic Diseases

基　　金：国家自然科学基金青年科学基金资助项目;基金编号:30500190

摘　　要：目的探讨重症全身性炎症反应综合征患者营养风险筛查情况和补硒治疗效果。方法 54例重症全身性炎症反应综合征患者,其中23例存在营养不良风险,作为营养不良风险组;另31例营养正常,作为营养正常组。将营养不良风险组患者随机分为对照组(12例)和观察组(11例)。对照组采用常规治疗,观察组采用补硒治疗,比较两组营养指标、并发症和急性生理与慢性健康评分表(APACHEⅡ)评分情况。结果54例患者中23例存在营养不良风险,发生率为42.59%;营养不良风险组的BMI、血清白蛋白(ALB)、血红蛋白(Hb)和红细胞计数均低于营养正常组(P<0.05);观察组治疗后第14天的ALB、Hb高于对照组(P<0.05);观察组腹胀、腹泻、高血糖和胃肠出血等并发症发生率均低于对照组(P<0.05);观察组治疗14d后的APACHEⅡ评分低于对照组(P<0.05)。结论重症全身性炎症反应综合征患者极易发生营养不良风险,及时给予补硒治疗可有效改善患者营养状况,降低并发症发生率,促进早日康复。Objective To discuss the nutritional risk screening and treatment analysis of selenium supplement of patients with systemic inflammatory response syndrome of severe systemic inflammation.Methods 54 cases of patients with severe systemic inflammatory response syndrome,in which 23 cases of malnutrition risk,as the risk of malnutrition group;the other 31 cases of normal nutrition,as the normal nutrition group.The malnutrition risk group were randomly divided into control group(12cases)and observation group(11cases).The control group was treated with routine treatment,the observation group was treated with supplementary selenium,and the two groups were compared nutritional index,complications and acute physiology and chronic health score(APACHE Ⅱ)score.Results 54 patients in 23 patients are at risk of malnutrition,incidence rate was 42.59%;risk of malnutrition group BMI,serum albumin(ALB),hemoglobin(HB)and red blood cell counts were lower than the normal nutrition group(P<0.05);observation group on the 14 th day after the ALB,Hb higher than control group(P<0.05);observation group,abdominal distension,diarrhea,high blood sugar and gastrointestinal bleeding complication rates were lower than that of the control group(P<0.05);observation treatment group 14 dafter the APACHE Ⅱ score was lower than that of the control group(P<0.05).ConclusionThe risk of malnutrition was easily happened of the patients with systemic inflammatory response syndrome of severe systemic inflammation,that able to effectively improve the nutriture of patients by selenium supplement in time,and reduce the incidence of complications and to promote a speedy recovery.

关 键 词：重症全身性炎症反应综合征 营养风险筛查 补硒 临床效果 

分 类 号：R459.7[医药卫生—急诊医学]