目的:探寻支气管扩张症(BE)患者存在营养风险的危险因素,以减少其发生,改善BE患者生活质量及预后。方法:本研究纳入126例BE患者,依据NRS-2002分为有营养风险组与无营养风险组。收集患者一般基线资料、检查及检验结果,符合正态分布采用...目的:探寻支气管扩张症(BE)患者存在营养风险的危险因素,以减少其发生,改善BE患者生活质量及预后。方法:本研究纳入126例BE患者,依据NRS-2002分为有营养风险组与无营养风险组。收集患者一般基线资料、检查及检验结果,符合正态分布采用均数独立样本t检验,偏态分布采用Mann-Whitney U检验,计数资料采用x2检验并绘制受试者工作特征(ROC)曲线评估Reiff评分对支扩患者存在营养风险的预测价值。结果:有营养风险组相较无营养风险组,Reiff评分升高,用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、白蛋白、白蛋白与球蛋白比值、血清钠离子水平均减低。结论:Reiff评分升高、FVC和FEV1减低、白蛋白及白蛋白与球蛋白比值减低、血清钠离子减低的患者更易存在营养风险。Reiff评分作为支扩患者存在营养风险的早期预测指标具有一定参考意义。Objective: To explore the risk factors of nutritional risk in patients with acute exacerbation of bronchiectasis (BE), in order to reduce the occurrence of nutritional risk and improve the quality of life and prognosis of BE patients. Methods: A total of 126 patients with BE were enrolled in this study and divided into nutritional risk group and non-nutritional risk group according to NRS-2002. Independent sample, t test was used for normal distribution, Mann-Whitney U test was used for skewed distribution, x2 test was used for count data, and receiver operating characteristic (ROC) curve was drawn to evaluate the predictive value of Reiff score for nutritional risk in patients with bronchiectasis. Results: The Reiff score of the nutritional risk group was higher than that of the non-nutritional risk group, and the forced vital capacity (FVC), forced expiratory volume in one second (FEV1), albumin, albumin to globulin ratio, and serum sodium ion levels were lower. Conclusion: Patients with increased Reiff score, decreased FVC and FEV1, decreased albumin and albumin to globulin ratio, and decreased serum sodium are more likely to have nutritional risk. Reiff score has a certain predictive value for early detection of nutritional risk in patients with BE.展开更多
文摘目的:探寻支气管扩张症(BE)患者存在营养风险的危险因素,以减少其发生,改善BE患者生活质量及预后。方法:本研究纳入126例BE患者,依据NRS-2002分为有营养风险组与无营养风险组。收集患者一般基线资料、检查及检验结果,符合正态分布采用均数独立样本t检验,偏态分布采用Mann-Whitney U检验,计数资料采用x2检验并绘制受试者工作特征(ROC)曲线评估Reiff评分对支扩患者存在营养风险的预测价值。结果:有营养风险组相较无营养风险组,Reiff评分升高,用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、白蛋白、白蛋白与球蛋白比值、血清钠离子水平均减低。结论:Reiff评分升高、FVC和FEV1减低、白蛋白及白蛋白与球蛋白比值减低、血清钠离子减低的患者更易存在营养风险。Reiff评分作为支扩患者存在营养风险的早期预测指标具有一定参考意义。Objective: To explore the risk factors of nutritional risk in patients with acute exacerbation of bronchiectasis (BE), in order to reduce the occurrence of nutritional risk and improve the quality of life and prognosis of BE patients. Methods: A total of 126 patients with BE were enrolled in this study and divided into nutritional risk group and non-nutritional risk group according to NRS-2002. Independent sample, t test was used for normal distribution, Mann-Whitney U test was used for skewed distribution, x2 test was used for count data, and receiver operating characteristic (ROC) curve was drawn to evaluate the predictive value of Reiff score for nutritional risk in patients with bronchiectasis. Results: The Reiff score of the nutritional risk group was higher than that of the non-nutritional risk group, and the forced vital capacity (FVC), forced expiratory volume in one second (FEV1), albumin, albumin to globulin ratio, and serum sodium ion levels were lower. Conclusion: Patients with increased Reiff score, decreased FVC and FEV1, decreased albumin and albumin to globulin ratio, and decreased serum sodium are more likely to have nutritional risk. Reiff score has a certain predictive value for early detection of nutritional risk in patients with BE.
