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Received:December 19, 2019 Published Online:September 20, 2020
Received:December 19, 2019 Published Online:September 20, 2020
中文摘要: 目的 探讨腹部并发症和肺部并发症的艾滋病(AIDS)患者营养风险筛查(NRS2002)的适用性及意义。方法 使用营养风险筛查(NRS2002)对2018年11月1日至2019年10月31日入院的207例AIDS患者进行营养筛查评估分析。结果 患肺部合并症的艾滋病患者与患腹部合并症的艾滋病患者BMI的分布差异无统计学意义(P>0.05)。NRS2002评分中,患肺部合并症的患者与患腹部合并症的患者相比,患肺部合并症的患者的营养风险偏高,差异具有统计学意义(P<0.01)。有肺部合并症的艾滋病患者白蛋白、三酰甘油、CD4水平均低于有腹部合并症的艾滋病患者,差异有统计学意义(P<0.05,P<0.01)。结论 艾滋病住院患者大部分都具有营养风险,尤其是具有肺部并发症的患者应及时给予营养风险筛查,及时给予恰当的营养干预,以使原发病的并发症发病率降低,并且改善目前营养状况及临床结局,提高预后效果。
中文关键词: 获得性免疫缺陷综合征 营养治疗 营养风险筛查 并发症
Abstract:Objective To investigate the applicability and significance of nutritional risk screening (NRS2002) in AIDS patients with abdominal and pulmonary complications. Methods NRS2002 was used to evaluate the nutritional status of 207 AIDS patients admitted from November 1st, 2018 to October 31st, 2019. Results There was no significant difference in BMI distribution between AIDS patients with pulmonary(group A) complications and those with abdominal(group B) complications (P>0.05).NRS2002 showed that the nutritional risk index in group A was significantly higher than that in group B(P<0.01).The levels of albumin, triglyceride and CD4 in group A were statistically lower than those in group B (P<0.05, P<0.01). Conclusion Nutritional risk was common in AIDS in-patients, especially in patients with pulmonary complications.Timely nutritional risk screening and appropriate nutrition intervention should be given to reduce the incidence rate of primary complications and improve the nutritional status and clinical outcomes.
keywords: Acquired immune deficiency syndrome Nutrition intervention Nutritional risk screening Complication
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