本文選題：慢性阻塞性肺疾病急性發(fā)作 + 危重癥　； 參考：《腸外與腸內(nèi)營(yíng)養(yǎng)》2014年03期

【摘要】：目的:分析慢性阻塞性肺疾病急性發(fā)作(AECOPD)并發(fā)呼吸衰竭病人的營(yíng)養(yǎng)風(fēng)險(xiǎn)及與預(yù)后的關(guān)系。方法:對(duì)114例AECOPD并發(fā)呼吸衰竭病人進(jìn)行回顧性營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查,按病人的營(yíng)養(yǎng)狀況分為營(yíng)養(yǎng)不足組和非營(yíng)養(yǎng)不足組;再按病人的預(yù)后分為病死組和存活組。分別觀察組間的體重指數(shù)(BMI)、NRS2002評(píng)分、APACHEⅡ評(píng)分、機(jī)械通氣率、脫機(jī)成功率、病死率的差異。進(jìn)一步分析病死組和存活組的NRS2002評(píng)分、前清蛋白、清蛋白、淋巴細(xì)胞計(jì)數(shù)、APACHEⅡ評(píng)分。結(jié)果:AECOPD并發(fā)呼吸衰竭病人營(yíng)養(yǎng)風(fēng)險(xiǎn)發(fā)生率達(dá)100%,營(yíng)養(yǎng)不足發(fā)生率為59.65%。營(yíng)養(yǎng)不足組病人的NRS2002評(píng)分、機(jī)械通氣率、脫機(jī)成功率與非營(yíng)養(yǎng)不足組比有顯著性差異(P0.05)。而病死組與存活組間NRS2002評(píng)分、清蛋白、APACHEⅡ評(píng)分亦存在統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論:AECOPD并發(fā)呼吸衰竭病人是營(yíng)養(yǎng)風(fēng)險(xiǎn)和營(yíng)養(yǎng)不足的高發(fā)人群,營(yíng)養(yǎng)狀況影響著疾病的進(jìn)展和預(yù)后。
[Abstract]:Objective: to analyze the relationship between nutritional risk and prognosis in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) complicated with respiratory failure. Methods: 114 patients with AECOPD complicated with respiratory failure were screened for nutritional risk. According to the nutritional status of the patients, they were divided into two groups: undernourished group and non-undernourished group, and then divided into death group and survival group according to the prognosis of the patients. Body mass index (BMI), NRS2002 score, Apache 鈪，

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