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目的:了解住院病人低ALB血症与住院周期的关系。方法:采用回顾性调查的方法,对上海市四所医院1 435例住院病人病历资料进行回顾性分析。结果:住院病人入院时低ALB血症患病率为28.4%,病人平均住院时间为2～98(24.48±14.55)d,低ALB组病人住院时间明显长于ALB正常组(P<0.01)。相关分析表明,病人住院周期与低ALB血症呈显著负相关(P<0.01),与年龄呈正相关(P<0.01)。Logistic线性回归分析显示,年龄和低ALB血症是延长住院周期的危险因素。回归方程式LOH(d)=28.243+0.096×AGE-2.567×ALB,病人年龄每增加1岁,住院周期延长0.096 d,血清ALB每减少10 g/L,住院周期延长2.567 d。结论:低ALB血症可反映疾病的严重程度,年龄和低ALB血症是延长住院周期的危险因素,尤其是老年病人,更要及时纠正低ALB血症。
Objective: To understand the relationship between hospitalized patients with hypoalbuminemia and hospitalization cycle. Methods: A retrospective survey was conducted to analyze the data of 1 435 hospitalized patients in four hospitals in Shanghai. Results: The prevalence of hypoalbuminemia in hospitalized patients was 28.4%. The average length of hospital stay was from 2 to 98 (24.48 ± 14.55) d. The hospitalization time in patients with low ALB was significantly longer than that in normal controls (P <0.01). Correlation analysis showed that there was a significant negative correlation between hospitalization duration and hypoalbuminemia (P <0.01), and positively correlated with age (P <0.01). Logistic regression analysis showed that age and hypoalbuminemia were risk factors for prolonged hospitalization. The regression equation LOH (d) = 28.243 + 0.096 × AGE-2.567 × ALB. The hospitalization period was prolonged by 0.096 days for every 1-year increase in patient age. Serum ALB was reduced by 10 g / L and hospitalization was extended by 2.567 days. CONCLUSIONS: Hypoalbuminemia can reflect the severity of the disease. Age and hypoalbuminemia are risk factors for prolonging the hospitalization period, especially in the elderly. In addition, hypoalbuminemia should be promptly corrected.