系统性营养干预在新冠肺炎重症治疗中的应用观察  

Observation on Application of Systemic Nutrition Intervention inTreatment of Severe COVID-19 Patients

作　　者：高艳[1,2] 王玲[2] 黄婷婷 余芳[2] GAO Yan;WANG Ling;HUANG Tingting;YU Fang(First Clinical School,Hubei Polytechnic University,Huangshi Hubei 435003;Department of Clinical Nutrition,Huangshi Central Hospital,Affiliated Hospital of Hubei Polytechnic University,Edong Healthcare Group,Huangshi Hubei 435000)

机构地区：[1]湖北理工学院第一临床学院,湖北黄石435003 [2]鄂东医疗集团黄石市中心医院(湖北理工学院附属医院)临床营养科,湖北黄石435000

出　　处：《湖北理工学院学报》2020年第5期53-57,共5页Journal of Hubei Polytechnic University

摘　　要：为观察系统性营养干预在新型冠状病毒肺炎重症一体化治疗中的作用,对30例新型冠状病毒肺炎重症患者(重型12例、危重型18例)进行了营养干预,观察和分析了患者合并的慢性基础疾病情况、营养状况及营养治疗情况等。新型冠状病毒肺炎重症患者合并慢性基础疾病主要为高血压病15例(50.0%)、心脏病12例(40.0%)、糖尿病9例(30.0%);营养风险筛查(NRS2002)评分5~7分19例(63.3%);营养不良20例(66.6%);营养治疗实施率86.7%,血浆白蛋白、前白蛋白及血磷不同程度下降。重型与危重型相比,差异有统计学意义(P<0.05);通过临床综合治疗,病情好转26例(86.7%)。新型冠状病毒肺炎重症患者存在较高的营养风险,系统性营养干预可以提高重症患者营养治疗实施率,有效改善其营养状况及临床结局。Objective: To observe the role of systemic nutrition intervention in the integrated treatment of severe COVID-19 patients. Methods:The nutritional intervention was done for 30 patients with severe COVID-19(12 Severe cases,18 critically ill cases) and the combined chronic underlying diseases, nutritional status and application of nutrition therapy were observed and analyzed. Results: Severe patients with new coronavirus pneumonia complicated with chronic basic diseases were mainly 15 cases of hypertension(50.0%), 12 cases of heart disease(40.0%), and 9 cases of diabetes(30.0%);19 cases(63.3%) nutritional risk screening(NRS2002) scored 5-7;20 cases of malnutrition(66.6%);The implementation rate of nutrition treatment was 86.7%;Plasma albumin, prealbumin and blood phosphorus decreased in varying degrees. The difference between severe cases and critically ill cases was statistically significant(P<0.05).Through comprehensive clinical treatment, 26 patients(86.7%) got better. Conclusion: Severe patients with COVID-19 has a higher nutritional risk and malnutrition rate. Systemic nutrition intervention can increase the implementation rate of nutritional therapy for severe patients, thereby effectively improving the nutritional status and clinical outcome of severe COVID-19.

关 键 词：营养干预 新型冠状病毒肺炎 重症病人 治疗 

分 类 号：R563.1[医药卫生—呼吸系统]