论文部分内容阅读
目的:探究营养风险对COPD患者预后的影响效果。方法:对2011年上半年诊疗的77名COPD患者进行分组临床试验,患者已同意并签署《临床试验知情同意书》,按意愿分成A、B两组。A组为空白对照组37例,采用NRS 2002进行营养风险筛查,但并不给予临床营养支持;B组为实验组40例,采用NRS 2002进行营养筛查,对有营养风险患者给予临床营养支持,对比分析其对患者预后的影响。结果:分析显示已有营养风险的患者住院时间较无风险患者更长,并发症发生率更高,且接受营养支持可改善临床结局,住院时间及并发症发生率大幅减小(P>0.05),具有统计学意义。结论:营养情况对患者预后有明显影响,有必要对每一位入院患者进行营养风险筛查,并根据筛查结果,采取相应措施,必要时实施营养支持计划。
Objective: To explore the effect of nutritional risk on the prognosis of patients with COPD. METHODS: A total of 77 COPD patients were included in the clinical trial in the first half of 2011. The patients had agreed and signed the “informed consent form of clinical trial”, divided into A and B groups according to their wishes. A group of 37 cases of blank control group, using NRS 2002 nutritional risk screening, but did not give clinical nutritional support; B group of 40 cases in the experimental group, the use of NRS 2002 nutrition screening, nutrition risk patients given clinical nutrition Support, comparative analysis of its prognosis of patients. Results: The analysis showed that patients who had nutrition risk had longer hospital stay and higher complication rate than those without risk factors. And nutritional support could improve clinical outcome, hospitalization time and the incidence of complications significantly reduced (P> 0.05) ,has statistical significane. Conclusion: Nutritional status has a significant effect on the prognosis of patients. It is necessary to conduct a nutritional risk screening for each hospitalized patient. According to the screening results, appropriate measures should be taken and if necessary, a nutritional support plan should be implemented.