首页|重症急性胰腺炎并发ARDS病人相位角与营养状态及临床结局的相关性研究

重症急性胰腺炎并发ARDS病人相位角与营养状态及临床结局的相关性研究

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目的:探讨重症急性胰腺炎(SAP)并发ARDS病人相位角(PA)与其营养状态、机械通气时间、住ICU时间和预后情况的关系.方法:回顾性收集中国人民解放军东部战区总医院2023年7月至2024年3月普外ICU收治的83例SAP并发ARDS病人的临床资料.根据相位角将病人分为低PA组和正常PA组.统计分析相位角与营养状态及临床结局的相关性,分析SAP合并ARDS病人死亡的影响因素.结果:本研究共纳入83例SAP并发ARDS病人,PA与营养风险分级(rs=-0.352,P=0.001)、机械通气时间(rp=-0.475,P<0.001)、住ICU时间(rp=-0.313,P=0.004)、临床预后(rs=-0.371,P=0.001)呈负相关,单因素分析显示,年龄、PA值、机械通气时间具有统计学意义(P<0.05);多因素分析显示,PA值是临床预后的独立影响因素(P<0.05).结论:PA与机械通气时间、住ICU时间、生存与死亡、筛查营养不良等因素具有相关性,未来具有广泛的应用前景.
Correlation analysis of phase angle with nutritional risk and clinical outcomes in patients with severe acute pancreatitis
Objective:To investigate the relationship between phase angle (PA) and nutritional status,duration of mechanical ventilation,length of intensive care unit (ICU) stay,and clinical outcomes in patients with severe acute pancreatitis (SAP) complicated with ARDS. Methods:The clinical data of patients with SAP complicated with ARDS admitted to the surgical ICU,Jinling hospital,medical school of Nanjing University,from July 2023 to March 2024 were retrospectively collected. Patients are divided into low-PA group and normal-PA group based on phase angle. The correlation analysis between phase angle,nutritional status,and clinical outcomes,and evaluation of risk factors for mortality in patients with SAP combined with ARDS were performed. Result:A total of 83 patients with SAP complicated with ARDS were included in this study. PA was negatively correlated with nutritional risk scores (rs=-0.352,P=0.001),duration of mechanical ventilation (rp=-0.475,P<0.001),length of ICU stay (rp=-0.313,P=0.004),and mortality (rs=-0.371,P=0.001). Univariate analysis showed statistically significant differences in age,PA value,and duration of mechanical ventilation for predicting mortality (P<0.05);Multivariate analysis showed that the PA value was an independent risk factor for mortality (P<0.05). Conclusion:PA is significantly correlated with clinical outcomes,such as nutritional risk,duration of mechanical ventilation,length of ICU stay and mortality,and may be a promising biomarker in future.

Severe acute pancreatitisPhase angleNutritional statusClinical outcome

丁岚、付越、赵泽华、姚红林、叶向红

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中国人民解放军东部战区总医院全军普通外科研究所,江苏南京 210002

福建医科大学护理学院,福建福州 350122

重症急性胰腺炎 相位角 营养状态 临床结局

2024

肠外与肠内营养
南京军区南京总医院,解放军普通外科研究所

肠外与肠内营养

CSTPCD北大核心
影响因子:1.974
ISSN:1007-810X
年,卷(期):2024.31(4)
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