营养风险筛查与评估在2019新型冠状病毒病的临床应用意义  

The clinical significance of nutritional risk screening in novel coronavirus pneumonia infection

作　　者：辛士珍[1] 余宏伟 宁华英[1] XIN Shi-zhen;YU Hong-wei;NING Hua-ying(Tianjin Haihe Hospital,Tianjin Institute of Respiratory Diseases,Department of Nurtrition,Tianjing 300350,China;Tianjin Haihe Hospital,Tianjin Institute of Respiratory Diseases,Department of Tuberculosis,Tianjing 300350,China)

机构地区：[1]天津市海河医院天津市呼吸疾病研究所营养科,天津300350 [2]天津市海河医院天津市呼吸疾病研究所结核科,天津300350

出　　处：《肠外与肠内营养》2020年第6期340-344,共5页Parenteral & Enteral Nutrition

摘　　要：目的:探讨营养风险筛查在2019年新型冠状病毒病的临床应用意义。方法:收集2020年1月21日~2020年3月15日期间本院住院的新型冠状病毒感染者133例,根据NRS 2002评分结果分为2组(≥3分组和<3分组),≥3分为存在营养风险。比较不同营养风险评分之间病人一般状况、住院天数、临床结局及营养相关指标的变化。结果:纳入病人共133例,其中男性70例,女性63例,平均年龄(49.89±15.87)岁,BMI均值(25.43±3.62)kg/m2,存在营养风险31例,比例为23.31%,两组之间比较:年龄、白蛋白、IL-6、氧合指数之间差异有统计学意义;133例病人中死亡3例,比例为2.26%,其中2例存在营养风险,比例为66.67%,利用Spearman秩相关检验提示病人住院天数与NRS 2002评分存在相关性;利用Wilcoxon秩和检验提示两组之间病人住院天数及临床结局之间差异具有统计学意义;3例死亡病例综合分型为重型,NRS 2002≥3分2例,NRS 2002<3分1例,其中2例合并高血压、2例合并糖尿病,2例合并冠心病,1例合并脑梗,1~4 d迅速进展为危重症,住院天数平均5.67 d,营养相关指标迅速恶化。结论:通过NRS 2002营养风险筛查,可以及早预测病人营养状况,降低营养不良相关并发症的发生,缩短住院时间及减少医疗费用,对于疾病治疗有积极影响。Objective:To explore the clinical significance of nutrition risk screening in COVID-19.Methods:We collected 133 patients with novel coronavirus infection hospitalized in our hospital during the period of January 21,2020--March 15,2020,it was divided into two groups(NRS 2002 score≥3 group and NRS 2002 score<3 group)according to the NRS 2002 score,NRS 2002 score≥3 is classified as having nutritional risk.The changes of General status,length of stay,clinical outcome and nutrition-related indicators of patients were compared among different nutritional risk score group.Results:A total of 133 patients were included,including 70 males and 63 females,with an average age of(49.89±15.87)years old,an average BMI of(25.43±3.62)kg/m2,and 31 patients(23.31%)with nutritional risk A total of 133 patients were included,including 70 males and 63 females,with an average age of(49.89±15.87)years old,an average BMI of(25.43±3.62)kg/m2,and 31 cases(23.31%)with nutritional risk;Comparison between the two groups:age,albumin,Il-6,and oxygenation index had statistically significant differences;Among the133 patients,there were 3 deaths(2.26%),of which 2 had nutritional risk(66.67%).Spearman rank correlation test suggested that the length of stay was correlated with the NRS 2002 score;Wilcoxon rank-sum test indicated that the differences in length of stay and clinical outcomes between the two groups were statistically significant.The combined classification of 3 cases with death was severe,2 cases with NRS 2002 score≥3,1 cases with NRS 2002 score<3;2 cases were associated with type 2 diabetes,2 cases with coronary heart disease,and I case with cerebral infarction.The disease progressed rapidly to critical disease within 1~4 days,and the length of hospitalization was 5.67 days,with rapid deterioration;Conclusion:Through NRS 2002 nutrition risk screening,patients’nutritional status can be predicted as early as possible,the occurrence of malnutrition-related complications can be reduced,hospital stay can be shortened and medical e

关 键 词：新型冠状病毒 营养风险 NRS 2002 

分 类 号：R459.3[医药卫生—治疗学] R563.1[医药卫生—临床医学]