老年科住院病人营养风险筛查及营养支持状况的研究  

The study of nutritional risk screening and nutritional support status in geriatrics department patients

作　　者：简荣汉[1] 苏葵花[1] 张敏[1] 游满芳[1] 

机构地区：[1]福建医科大学附属龙岩市第一医院临床营养科,福建龙岩364000

出　　处：《肠外与肠内营养》2013年第2期81-82,86,共3页Parenteral & Enteral Nutrition

摘　　要：目的:分析老年病人的营养风险、营养不足发生情况以及临床营养支持的应用状况。方法:采用定点连续抽样方法,对315例老年病人用营养风险筛查2002(NRS2002)方法进行营养风险筛查,并结合体重指数(BMI)、血清清蛋白、前清蛋白进行营养不足的评估,回顾其营养支持应用情况,分析营养风险与营养支持及与营养风险与年龄之间的关系。结果:315例病人中发生营养不足和有营养风险者分别为17.78%和47.30%,行营养支持者占19.05%和27.51%。无营养风险的病人行营养支持者占11.45%。60～69岁的老年病人营养风险发生率为21.82%,70～79岁为48.30%,80～89岁为58.41%。结论:老年科住院病人中存在较高比例的营养风险和营养不足,且营养风险的发生率随年龄的增加而增加。目前老年病人营养支持不足和滥用并存。Objective： To analyze the incidence rate of nutrition risk and hypoalimentation in agingpatients. Methods： Local preferred continuous sampling method was employed to study the nutrition risks screening of 315 patients who were in hospital of old age department between April, 2011to April,2012. Also the BMI, albumin, prealbumin were used to evaluate hypoalimentation of these patients. Results： 56 cases were undernutrition and 149 cases were nutrition risks, 17. 78% and 47.3 %. Of 315 cases, 60 cases had received nutritional support, 19.05 %. 41 cases had received nutritional support of 149 cases with nutrition risks, 27.51%. 19 cases had received nutritional support of 166 cases with no nutrition risks, 11.45%. The incidence rate of nutrition risks of patients was 21.82% between 60 to 69 years old. The incidence rate of nutrition risks of patients was 48.30% between 70 to 79 years old. The incidence rate of nutrition risks of patients was58.41% between 80 to 89 years old. Conclusion： The proportions of nutrition risk and undernutrition are higher in patients who were in hospital of old age department, and the rate grows with the age increases.

关 键 词：营养风险 营养不足 临床营养支持 

分 类 号：R592[医药卫生—老年医学] R459.3[医药卫生—内科学]