早期营养支持对酒依赖患者临床结局的影响
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河北省重大医学科研课题(ZD2013085);河北省卫计委医学科学研究课题(20160695)


Effect of early nutritional support on clinic outcome for alcohol dependence
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    摘要:

    目的 探讨营养支持对酒依赖患者临床结局的影响。方法 选取 2018 年 8 月至 2020 年 12 月在河北医科大学第一医院精神卫生中心住院的酒依赖患者,使用营养风险筛查量表(NRS2002)对 患者进行营养风险筛查。纳入存在营养风险的患者共 116 例(NRS ≥ 3 分)。以患者是否接受营养支持 分为营养支持组(70 例)和无营养支持组(46 例),比较两组患者的临床转归与并发症状况。结果 营养 支持组的震颤谵妄平均持续时间为(51.32±9.93)h,低于无营养支持组的(60.06±13.14)h,差异有统计 学意义(t=-2.290,P=0.028)。入院第3天和第7天,营养支持组的日常生活能力(ADL)评分[(89.71±16.83)、 (94.43±11.60)分]均 高 于 无 营 养 支 持 组[(80.54±21.51)、(88.37±14.61)分],差 异 有 统 计 学 意 义 (F=6.955,P=0.012;F=6.153,P=0.015)。营养支持组的并发症发生率为 21.4%(15/70),低于无营养支持 组的39.1%(18/46),差异有统计学意义(χ2 =4.273,P=0.039)。结论 营养支持可减轻酒精戒断反应程度, 缩短震颤谵妄的持续时间,促进生活能力恢复,同时可以减少感染、压疮、跌伤等并发症的发生风险。

    Abstract:

    Objective To investigate the effect of nutritional support on prognosis of alcohol dependent patient. Methods Alcohol dependent patients hospitalized in Mental Health Center of the First Hospital of Hebei Medical University from August 2018 to December 2020 were selected. The nutritional risk screening scale (NRS2002) was used to screen the nutritional risk of the patients. A total of 116 patients with nutritional risk (NRS≥3) were included. The patients were divided into nutritional support group (n=70) and non nutritional support group (n=46). The clinical outcomes and complications were compared between the two groups. Results The average duration of delirium in nutritional support group [(51.32±9.93)h] was lower than that in non nutritional support group [(60.06±13.14)h]. The difference was statistically significant (t=-2.290, P=0.028). The Activities of Daily Living (ADL) scores of the nutritional support group on the 3rd and 7th day after admission [(89.71±16.83),(94.43±11.60)] were higher than those of the non nutritional support group [(80.54±21.51),(88.37±14.61)]. The difference was statistically significant (F=6.955, P=0.012; F=6.153, P=0.015). The complication rate of nutritional support group was 21.4% (15/70), which was lower than that of non nutritional support group [39.1% (18/46)]. The difference was statistically significant (χ2 =4.273, P=0.039). Conclusions Nutritional support can reduce alcohol withdrawal reaction, shorten the duration of delirium, promote the recovery of life ability, and reduce the complications of infection, pressure sores, falls and other complications.

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姚绍敏 王学义 余艳堂 雍恩华 宋志领.早期营养支持对酒依赖患者临床结局的影响[J].神经疾病与精神卫生,2021,21(8):
DOI :10.3969/j. issn.1009-6574.2021.08.005.

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  • 在线发布日期: 2021-08-31