根据其PROFUND指数,具有营养风险的多病症住院患者的生存率
Cristina López-Muñoz1, Marta Aranda-Gallardo2, Francisco Rivas-Ruiz3
1Unidad de Pruebas Funcionales Digestivas, Hospital Universitario Costa del Sol, Marbella, Málaga, Spain.
Enfermeria clinica
|October 23, 2025
概括
患有多种病理和需要营养支持的消化障碍的患者在通过皮肤内镜胃口 (PEG) 养时,与口服养相比,生存时间更长,特别是在考虑营养状况和PROFUND指数时.
科学领域:
- 临床医学 临床医学
- 老年病的医生 老年病的医生
- 营养科学 营养科学
背景情况:
- 在住院患者中,多种病理和消化障碍很常见,增加了营养风险.
- 营养状况和并发症显著影响患者的结果.
- 穿皮内镜胃口术 (PEG) 是一种养方法,用于无法维持足够口服摄入量的患者.
研究的目的:
- 为了比较接受PEG养与口服养的多病理患者的临床和功能特征和生存率.
- 评估并发症和营养状况对这些患者群体的生存的影响.
主要方法:
- 住院多种病理患者 (2016-2021) 的回顾性队列研究,这些患者患有食障碍和营养风险.
- 包括接受PEG的患者和口服食患者的匹配样本.
- 评估食障碍,分析参数,生存率,PROFUND指数和营养风险;使用考克斯回归进行统计分析.
主要成果:
- 这项研究包括168名患者 (84名PEG,84名口服),超过70%的患者出现营养不良和中高的PROFUND分数.
- 神经疾病/痴呆症在PEG组更频繁;中风在口服组更常见.
- 在对营养状况和PROFUND指数进行调整后,PEG组显示出明显更好的预后 (P = .035).
结论:
- 调整PROFUND指数和营养状况显示,接受PEG养的多种病理患者的生存时间更长.
- 在经过精心挑选的多病理患者中,PEG食可能会为患有食障碍和营养不良的患者提供生存优势.
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