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目的:调查某三甲医院慢性阻塞性肺病(chronic obstructive pulmonary disease,COPD)住院患者营养风险发生情况,并探讨其与并发症、住院时间的关系。方法:对COPD住院患者使用住院患者营养风险筛查NRS-2002评估表进行营养风险筛查,在患者入院次日早晨进行NRS 2002筛查,NRS 2002≥3分为有营养风险;主要的统计方法有检验、Wilcoxon秩和检验、Kruskal-Wallis H检验、Spearman相关等。结果:共有81例COPD住院患者入选,全部完成NRS 2002筛查,有营养风险的患者59人,营养风险发生率为72.8%;营养风险与住院天数、并发症相关,即营养风险评分越大,患者住院时间越长,越容易发生并发症。在59例有营养风险的患者中,仅有9例(15.3%)接受了营养支持。结论:营养风险重视度不足,营养支持的应用状况欠佳。我们应当更加重视COPD住院患者的营养风险与营养支持,对于存在营养风险的患者,应结合临床,根据患者的一般情况和临床特点,制订相应的营养支持方案。
Objective: To investigate the nutritional risk of hospitalized patients with chronic obstructive pulmonary disease (COPD) in a top three hospital and to explore its relationship with complications and hospitalization time. Methods: Nutritional risk screening was conducted in hospitalized patients with COPD using nutrition risk screening of inpatients NRS-2002 assessment table. NRS 2002 screening was conducted on the morning of admission, and NRS 2002≥3 was classified as nutritional risk. The main statistical methods There are tests, Wilcoxon rank sum test, Kruskal-Wallis H test, Spearman correlation and so on. Results: A total of 81 hospitalized patients with COPD were enrolled. All patients were screened for NRS 2002. 59 patients were at nutritional risk and the nutritional risk was 72.8%. Nutritional risk was related to hospitalization days and complication. Namely, the greater the nutrition risk score, Patients stay longer, the more likely complications. Of 59 patients at nutritional risk, only 9 (15.3%) received nutritional support. Conclusion: The nutrition risk is not enough, and the application of nutrition support is not good. We should pay more attention to nutrition risk and nutrition support for inpatients with COPD. For patients with nutritional risk, we should formulate corresponding nutrition support programs according to the clinical condition and clinical features.