慢性阻塞性肺疾病急性加重患者营养风险及1年内再发急性加重的影响因素分析  

Analysis of influencing factors of nutritional risk and recurrent acute exacerbation within one year in patients with acute exacerbation of chronic obstructive pulmonary disease

作　　者：吴勤健 石晓燕[1] WU Qinjian;SHI Xiaoyan(Department of General Medical,Huangshan People′s Hospital,Huangshan,Anhui 245000,China)

机构地区：[1]黄山市人民医院全科医学科,安徽黄山245000

出　　处：《临床肺科杂志》2023年第9期1399-1403,共5页Journal of Clinical Pulmonary Medicine

摘　　要：目的分析慢性阻塞性肺疾病急性加重患者营养风险及1年内再发急性加重的影响因素。方法回顾性分析2016年1月-2021年10月我院收治的85例慢性阻塞性肺疾病急性加重患者,采用营养风险筛查表进行营养风险评估,<3分为无营养风险,≥3分为有营养风险。其中,无营养风险组20例,有营养风险组65例,运用Logistic回归模型分析营养风险的影响因素,并进一步分析影响慢性阻塞性肺疾病急性加重患者出院后1年内再发急性加重的暴露因素。结果年龄(OR=1.119,95%CI 1.006~1.246,P<0.05)、血清白蛋白(OR=0.614,95%CI 0.465~0.811,P<0.05)对营养风险的影响具有统计学意义;营养风险对1年内再发急性加重的影响具有统计学意义(OR=4.187,95%CI 1.062~16.499,P<0.05)。结论年龄、血清白蛋白是慢性阻塞性肺疾病急性加重患者营养风险的影响因素;营养风险是慢性阻塞性肺疾病急性加重患者1年内再发急性加重的影响因素。Objective To analyze the influencing factors of nutritional risk and recurrent acute exacerbation within one year in patients with acute exacerbation of chronic obstructive pulmonary disease.Methods From January 2016 to October 2021,85 patients with acute exacerbation of chronic obstructive pulmonary disease in our hospital were analyzed retrospectively.Nutritional risk was assessed using the nutritional risk screening table,<3 points indicated no nutritional risk,and≥3 points indicated nutritional risk.Among them,there were 20 cases in the non-nutritional risk group and 65 cases in the nutritional risk group.The logistic regression model was used to analyze the influencing factors of nutritional risk and further analyze the exposure factors affecting recurrent acute exacerbation of patients with acute exacerbation of chronic obstructive pulmonary disease within one year after discharge.Results Age(OR=1.119,95%CI 1.006~1.246,P<0.05),serum albumin(OR=0.614,95%CI 0.465~0.811,P<0.05)had a significant influence on nutritional risk;The influence of nutritional risk on recurrent acute exacerbation within one year was statistically significant(OR=4.187,95%CI 1.062~16.499,P<0.05).Conclusion Age and albumin are the influencing factors of nutritional risk in patients with acute exacerbation of chronic obstructive pulmonary disease.Nutritional risk is the influencing factor of recurrent acute exacerbation within one year in patients with acute exacerbation of chronic obstructive pulmonary disease.

关 键 词：慢性阻塞性肺疾病 营养风险 急性加重 影响因素 

分 类 号：R563.9[医药卫生—呼吸系统]