低白蛋白血症对住院老年患者并发症的影响

Effect of Hypoalbuminemia on Prognosis of Hospitalized Elderly Patients with Complications

目的探讨血清白蛋白(ALB)水平对住院老年患者并发症的影响。方法选取2009年6月至2011年6月间60岁以上住院患者140例,排除恶性肿瘤、鼻饲患者,随访2年,ALB浓度<35 g/L为研究组,ALB浓度35～55 g/L为对照组。对两组中贫血、严重感染、心血管并发症及病死等发生率进行观察。结果对研究组和对照组在贫血、严重感染(肺部感染、皮肤软组织感染、泌尿系感染)、心血管并发症(充血性心力衰竭、心律失常、心绞痛、心肌梗死)及病死的发生率上的差异有统计学意义(P<0.05)。结论 ALB浓度<35 g/L的住院老年患者,相对于ALB浓度正常的住院老年患者,易于出现并发症,应充分重视,并适当给予各种有效的干预,对可能出现的并发症进行预防。

Objective To investigate the serum albumin level on the prognosis of hospitalized elderly patients with complications.Methods From June 2009 to June 2011,2-year follow-up data from 140 hospitalized elderly patients,aged over 60 years,without malignancy and nasal feeding were collected,and divided according to the normal level of serum albumin,low albumin group was 35g/L,normal albumin group was 35-55g/L.Low albumin group and normal albumin group were compared the incidence of anemia,severe infections,cardiovascular complications and death.Results Differences in incidence of anemia,severe infections（pneumonia,skin and soft tissue infections,urinary tract infections）,cardiovascular complications（congestive heart failure,arrhythmia,angina,myocardial infarction）and death were significantly different.Conclusion Hospitalized elderly patients with albumin concentration of 35 g/L are more likely to develop complications than those with the normal concentration,thas should be concerned with,and given various effective interventions to prevent the possible complications.