四种营养评价法对肝硬化患者营养不良评价的一致性探讨  

Consistency study of assessment of Malnutrition in Patients with Hepatocirrhosis by four kinds of Nutrition Assessment Methods

作　　者：李广鹏[1] 周黎黎[2] 欧阳伟钢[2] 拓宽前[3] 李健宁[2] 韩志毅[1] 佐小华[3] 秦蕾[1] 

机构地区：[1]石河子大学医学院,新疆石河子市832000 [2]克拉玛依市中心医院消化科,新疆克拉玛依市834000 [3]克拉玛依市中心医院营养科,新疆克拉玛依市834000

出　　处：《现代生物医学进展》2010年第5期934-936,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨主观全面营养评价法(subjective global assessment,SGA)、简易营养评价法(mini-nutritional assessment,MNA)、简易营养评价精法(short form mini-nutrition assessment,MNA-SF)及欧洲NRS2002(Nutritional risk screening)营养风险筛检法四种营养评估法对肝硬化患者营养不良评价的一致性。方法:采用SGA、MNA、MNA-SF、NRS2002四种营养评估法对本院收治的肝硬化患者49例进行营养评估,应用诊断一致性检验评价四种营养评估法之间的一致性。结果:四种方法评估肝硬化营养不良发生率分别为:SGA法为32.7%,MNA法为67.3%,MNA-SF法为51.0%,NRS2002法为40.8%;四种营养评估法吻合程度从强到弱依次为:MNA法与MNA-SF法,k=0.671;SGA法与MNA-SF法,k=0.554;MNA-SF法与NRS2002法,k=0.553;MNA法与NRS2002,k=0.501;SGA法与NRS2002法,k=0.477;SGA法与MNA法,k=0.381。结论:四种营养评估法之间的吻合程度,MNA法与MNA-SF法之间最强,SGA法、MNA-SF法、NRS2002法之间一般,SGA法与MNA法之间吻合度较弱;SGA法、MNA-SF法、NRS2002法之间具有良好的一致性,对肝硬化患者进行营养状况评估时,SGA法、MNA-SF法、NRS2002法均可使用。ABSTRACT Objective：To investigate consistency of assessment of Malnutrition in Patients with Hepatocirrhosis by SGA,MNA, MNA-SF, NRS2002.Methods：Their nutritional status of 49 patient with Hepatocirrhosis were assessed by SGA, MNA, MNA-SF, NRS2002, used the kappa consistency checking, compared the consistency of four methods. Results：The incidence of malnutrition by SGA, MNA, MNA-SF, NRS2002 respectively were： 32.7%, 67.3%, 51.0% ,40.8% among the Patients with Hepatocirrhosis. The degrees of consistency： MNA and MNA-SF, k=0.671; SGA and MNA-SF, k=0.554; MNA-SF and NRS2002,k=0.553; MNA and NRS2002, k=0. 501;SGA and NRS2002,k=0.477; SGA and MNA,k=0.381. Conclusions：Compared the consistency among SGA, MNA, MNA-SF, NRS2002： MNA and MNA-SF＇s consistency 〉 SGA, MNA-SF, NRS2002 ＇s 〉 SGA and MNA＇s. SGA, MNA-SF, NRS2002 could be used to assess in patents with Hepatocirrhosis＇ s nutritional status.

关 键 词：肝硬化 营养状态评估 主观全面评价法 简易营养评价法 简单营养评价精法 欧洲NRS2002营养风险筛检法 一致性 

分 类 号：R587.1[医药卫生—内分泌]