摘要
目的 对呼吸内科肺部感染住院患者营养风险进行筛查,并研究其与临床结局的关系.方法 选取2017年1月-2019年8月中国科学院大学宁波华美医院呼吸内科收治的385例肺部感染住院患者,采用营养风险筛查法(Nutrition Risk Screening 2002,NRS2002)进行营养筛查,根据筛查结果分为风险组(NRS2002≥3分)、无风险组(NRS2002<3分).分析两组患者的临床资料,单因素及多因素Logistic回归分析患者营养风险发生的因素,比较两组住院时间、住院费用、并发症发生率及病死率,采用Pearson分析NRS2002评分与住院时间、CURB65评分的相关性.结果 385例肺部感染住院患者中NRS2002≥3分102例,营养风险发生率为26.49%;多因素Logistic分析结果,机械通气、慢性阻塞性肺疾病、糖尿病是营养风险发生的危险因素,高血清白蛋白是保护因素(P<0.05);两组患者住院时间、住院费用比较差异显著(P<0.05);NRS2002评分与住院时间、CURB65评分均呈正相关;风险组并发症发生率为7.84%,高于无风险组的1.41%(P<0.05);风险组患者病死率高于无风险组(P<0.05).结论 呼吸内科肺部感染住院患者营养风险发生率较高,并与患者病情有关,高营养风险可延长患者住院时间,增加患者住院费用和并发症发生率与病死率.
OBJECTIVE To screen the nutritional risk for the hospitalized patients with pulmonary infection in respiratory medicine department and analyze its correlation with clinical outcomes.METHODS A total of 385 patients with pulmonary infection who were hospitalized for treatment in respiratory medicine department of Ningbo Huamei Hospital,Chinese Academy of Sciences from Jan 2017 to Aug 2019 were enrolled in the study,and the nutritional screening was carried out for the patients by using Nutrition Risk Screening 2002(NRS2002),and the patients with the NRS2002 no less than 3 points were assigned as the risk group,and the patients with the NRS2002 less than 3 points were assigned as the non-risk group.The clinical data of the two groups of patients were analyzed,the univariate analysis and multivariate logistic regression analysis were performed for the factors for the nutritional risk.The length of hospital stay,hospitalization cost,incidence of complications and mortality rate were compared between the two groups,and the correlation between the NRS2002 score and the length of hospital stay and CURB65 score was observed.RESULTS Of the 385 hospitalized patients with pulmonary infection,102 had the NRS2002 no less than 3 points,and the incidence of nutritional risk was 26.49%.The result of multivariate logistic analysis showed that mechanical ventilation,chronic obstructive pulmonary disease and diabetes mellitus were the risk factors for the nutritional risk,and high serum albumin was the protective factor(P<0.05).There were significant differences in the length of hospital stay and hospitalization cost between the two groups of patients(P<0.05).The NRS2002 score was positively correlated with the length of hospital stay and CURB65 score.The incidence of complications of the risk group was 7.84%,significantly higher than 1.41%of the non-risk group(P<0.05).The mortality rate of the risk group was significantly higher than that of the non-risk group(P<0.05).CONCLUSION The incidence of nutrition risk is high among the hos
作者
吴文晓
张佩君
郎萍
陆晓兰
WU Wen-xiao;ZHANG Pei-jun;LANG Ping;LU Xiao-lan(Hwamei Hospital,University of Chinese Academy of Sciences,Ningbo,Zhejiang 315010,China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2020年第17期2632-2636,共5页
Chinese Journal of Nosocomiology
基金
宁波市医疗卫生品牌学科基金资助项目(PPXK2018-05)。
关键词
呼吸内科
肺部感染
营养风险
住院时间
住院费用
病死率
Respiratory medicine department
Pulmonary infection
Nutritional risk
Length of hospital stay
Hospitalization cost
Mortality rate
