在稳定的精神分裂症患者中,营养指标与肺炎风险之间的关系:一项回顾性研究
Duanfang Cai1, Yilin Wang1, Xiaoyan Chen1
1The Zigong Affiliated Hospital of Southwest Medical University, Zigong Mental Health Center, Zigong, China.
概括
减少体力活动和营养不良会增加肺炎的风险. 在稳定的精神分裂症患者中,低血清白蛋白水平与较高的肺炎风险显著相关,特别是在女性中.
科学领域:
- 老年医学 老年医学
- 精神病学是一个精神病学.
- 营养科学 营养科学
背景情况:
- 肺炎是老年人群的一个问题,可能与营养不良和身体活动减少有关.
- 老年营养风险指数 (GNRI) 有助于对康复的营养评估,但其与稳定的精神分裂症患者肺炎的关联尚未研究.
研究的目的:
- 研究稳定精神分裂症住院患者的营养状况指标与肺炎风险之间的关系.
- 确定GNRI或其组件是否预测该人口中的肺炎发病率.
主要方法:
- 一项对434名患有稳定精神分裂症的住院患者 (≥50岁) 的回顾性研究 (2017年1月至2022年6月).
- 通过BMI,血清白蛋白和GNRI评估营养状况.
- 肺炎诊断和治疗数据追溯收集在一年内.
- 用于检查关联的物流回归分析.
主要成果:
- 整体肺炎发病率为10.14%,没有显著的性别差异.
- 单变量分析显示了女性患者血清白蛋白和肺炎之间的相关性 (P=0.022).
- 经调整后勤回归证实血清白蛋白是女性患者肺炎风险的重要预测因子 (OR=0.854,P=0.02).
结论:
- 血清白蛋白水平与稳定精神分裂症的女性患者肺炎风险有显著的相关性.
- 营养评估,特别是血清白蛋白,可能对识别这一人口群中的风险人群至关重要.
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