老年糖尿病并肺炎患者营养支持效果观察

Effectiveness of nutritional support in elderly diabetics with pneumonia

目的:观察给予存在营养风险的老年糖尿病并肺炎患者营养支持治疗的效果。方法:采用NRS2002表对2016年5—12月129例老年糖尿病并肺炎住院患者进行营养风险评估。分为无营养风险组34例,营养风险组95例(包括干预组43例及不愿接受营养支持治疗的对照组52例)。对营养风险干预组给予营养干预治疗,观察干预效果。收集3组患者的住院天数、抗生素使用时间、死亡患者的例数和血糖、血清白蛋白等生化指标。结果:129例老年糖尿病并肺炎患者中,73.64%存在营养风险;营养风险组住院天数、抗生素使用时间比无营养风险组长(P<0.05)。营养风险干预组住院天数、抗生素使用时间明显短于对照组,其病死率亦明显降低(P<0.05);营养支持治疗后营养风险干预组血糖及血清白蛋白均明显高于对照组(P<0.05)。和无营养风险组比较,营养风险干预组住院天数、抗生素使用时间和病死率无显著性差异(P>0.05)。结论:对存在营养风险的老年糖尿病并肺炎患者,给予积极营养支持治疗可以缩短住院天数和抗生素使用时间,降低病死率,也有助于血糖控制。

Objective To observe the effectiveness of nutritional support in e ld e r / pneumonic diabetics Methods： 129 elderly diabetes with pneumonia hospitalized in our department were evaluated by nutritional risk screening 2002 （NRS2002） from May 2016 to December 2016. They were divided into non-nutritional risk group# 34 case） and nutritional risk group（95 cases） which was subdivided into intervention group （43 cases） and control group （ unwilling to receive nutritional support,52 cases） . Patients in nutritional risk intervention group were given nutritional intervention, and the intervention effectiveness was observed. The length of stay,the length of antibiotics use,the number of death,blood glucose and serumalbumin etc. were investigated. Results： Of 129 elderly diabetics with pneumonia,73. 64% had nutritional risk. The length of stay,the length of antibiotics use in the nutritional risk group were significantly prolonged comp0. 05 ）. The length of stay,the length of antibiotics use and case fatality in nutritional risk intervention compared with the control group（P 〈0. 05）;after nutritional intervention,the blood glucose and serum albumhigher than those in the control group （P〈 0. 05 ）. There were no significantly differences in the length of stay,the length ofantibiotics use and case fatality between nutritional risk intervention group and the non-nutritionalevident difference were non-existent,which compared without nutritional risk group （P〉 0. 05 ）. Conclusion： Positive nutritionsupport tor elderly pneumonic diabetics with nutritional risk can shorten the length of stay and the length of antibiotics use,reducecase fatality,and contribute to control blood glucose.