全院住院患者营养风险筛查及营养支持应用状况的调查  

Investigation of Nutritional Risk Screening and Nutritional Support in Inpatients of the Hospital

作　　者：吴锐[1] 岳慧杰[1] 吴勤研[1] 倪江洪[1] 宋小骏[1] 

机构地区：[1]南京军区南京总医院药品科,南京210002

出　　处：《中国药房》2014年第18期1702-1705,共4页China Pharmacy

基　　金：南京药学会-常州四药医院药学科研基金(No.2012YX007)

摘　　要：目的:调查全院住院患者营养风险状况以及营养支持的应用现状。方法:使用营养风险筛查2002(NRS-2002)评分简表,采用加权随机抽样的方法,对2012年4月1日-2013年3月31日新入院患者进行营养风险筛查,并调查其营养支持应用情况。结果:2 821例住院患者中,存在营养风险患者902例,占32.0%。其中营养风险发生较高的科室为肾脏科、呼吸科、普外科、介入科、血液科。无营养风险患者共1 919例,其中使用营养支持者242人,占12.6%。有营养风险的902例患者中使用营养支持者349人,占38.7%。共有591例患者给予了营养支持,占20.9%。NRS评分≥3分使用营养支持者349人,占总营养支持的59.1%;NRS<3分使用营养支持者为242人,占40.9%。但有营养风险的营养支持率显著高于无营养风险者。NRS评分≥3分未使用营养支持553例,占24.8%。结论:筛查结果显示住院患者有营养风险的比例较高,但使用营养支持存在一定的不合理情况。OBJECTIVE： To investigate the situation of nutritional risk screening and the application of nutritional supports in inpatients of the hospital. METHODS： The nutritional risk screening 2002 （NRS-2002） was adopted for nutritional risk screening in the inpatients during Apr. 1st, 2012 and Mar. 31st, 2013 based on weighted randomized sampling. The application of nutritional supports was also investigated. RESULTS： Among 2 821 patients, nutritional risks were occurred in 902 cases, accounting for 32.0%. High-frequent happened in nephrology department, pneumology department, general surgery department, invasive technolo- gy department and hematology department. Besides, nutritional supports were applied in 242 cases of 1 919 inpatients without nutri- tional risks （12.6%） and in 349 cases of 902 inpatients with nutritional risks （38.7%）. 591 patients were given nutritional support （20.9%）. 349 patients （59.1%） whose NRS score ≥3 received nutritional support, while 242 patients （40.9%） whose NRS score 〈3 received nutritional support. However, the rate of nutritional support with nutritional risk was significantly higher than that without nutritional risk. 553 cases whose NRS score ≥3 didn＇t received nutritional support, accounting for 24.8%. CONCLU- SIONS ： The results reveal that the nutritional risks commonly occur in the inpatients and there is a certain degree of irrationality in the application of nutritional support.

关 键 词：营养风险 营养风险筛查 营养支持 

分 类 号：R952[医药卫生—药学] R977