本文選題：相位角　切入點(diǎn)：人體成分　出處：《腸外與腸內(nèi)營(yíng)養(yǎng)》2017年05期 　論文類型：期刊論文

【摘要】：目的:探討生物電阻抗相位角(phase angle,PA)與胸外手術(shù)病人營(yíng)養(yǎng)風(fēng)險(xiǎn)、住院時(shí)間(hospital length of stay,LOS)的關(guān)系。方法:60例胸部手術(shù)病人,應(yīng)用營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查2002(NRS2002)、主觀全面評(píng)定(Subjective Global Assessment,SGA)、白蛋白、人體成分分析、PA評(píng)價(jià)其營(yíng)養(yǎng)風(fēng)險(xiǎn)及LOS。結(jié)果 :與對(duì)照組比較,手術(shù)病人PA偏低,男(6.0±1.0)vs(3.85±1.0),女(5.4±0.9)vs(4.9±0.6),P0.01。與正常PA比較,低PA者營(yíng)養(yǎng)風(fēng)險(xiǎn)相對(duì)危險(xiǎn)度,用NRS2002。無(wú)風(fēng)險(xiǎn)(RR 2.8,95%CI=1.2~6.9),中度風(fēng)險(xiǎn)(RR 3.9,95%CI=1.8~8.6),重度風(fēng)險(xiǎn)(RR4.2,95%CI=2.0~8.7);用SGA。營(yíng)養(yǎng)良好(RR 2.5,95%CI=0.9~6.9),中度營(yíng)養(yǎng)不良(RR 4.4,95%CI=2.1~9.4),重度營(yíng)養(yǎng)不良(RR 3.9,95%CI=1.9~8.0),與NRS2002相似;與正常PA比較,低PA者住院時(shí)間傾向于延長(zhǎng)(LOS≥21 d,RR=4.4,95%CI=2.2~8.8)。結(jié)論 :低PA與手術(shù)病人營(yíng)養(yǎng)風(fēng)險(xiǎn)、LOS延長(zhǎng)密切關(guān)聯(lián)。PA測(cè)量有助于快速明確病人的營(yíng)養(yǎng)風(fēng)險(xiǎn)對(duì)于確定病人營(yíng)養(yǎng)干預(yù)和判斷疾病轉(zhuǎn)歸提供了客觀依據(jù)。
[Abstract]:Objective: to investigate the relationship between phase angle of bioelectric impedance phase angle (PAPA) and nutritional risk, hospital length of stay-losse in patients undergoing extrathoracic surgery. Methods: 60 patients undergoing thoracic surgery were screened for NRS2002.Subjective Global assessment (SGA, albumin) was evaluated by nutritional risk screening. Results: compared with control group, PA was lower in surgical patients than in control group (6.0 鹵1.0 vs 3.85 鹵1.0), and in female was 5.4 鹵0.9 vs 4.9 鹵0.6P 0.01.Compared with normal PA, the relative risk of nutrition in patients with low PA was higher than that in control group. With NRS 2002. RRR 2.895 CI1. 2 / 9, moderate risk RR 3. 9 / 95 CI1. 8, heavy risk RR4. 2 / 95 CII 2. 0 ~ 8. 7; SGA. good nutrition RR 2. 595 / CI0.96.9; moderate malnutrition RR 4. 4 / 95CI2. 1 / 9.4; severe malnutrition RR 3. 9 / 95 CI1.90, similar to NRS2002; compared with normal PA, Low PA patients tended to prolong Los 鈮，

本文編號(hào)：1617885