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出 处:《中国现代普通外科进展》2014年第4期290-291,305,共3页Chinese Journal of Current Advances in General Surgery
摘 要:目的:应用营养风险筛查工具(NRS2002)调查单县中心医院普外科患者住院期间营养风险、营养不足的发生率及营养支持应用情况,探讨NRS2002在单县中心医院普外科住院患者中的适用性。方法:收集2013年1—8月入住我院治疗的普外科(包括血管外科、肝胆外科、胃肠外科和烧伤外科)患者746例。所有患者入院后24 h内应用NRS2002进行营养风险筛查,记录营养风险、营养不足及营养支持应用情况。结果:644例患者完成营养风险筛查,其中营养风险的发生率为9.1%,营养不足和肥胖的发生率分别为2%和13%。89.3%具有营养风险的患者接受了营养支持,10.2%不存在营养风险的患者接受了营养支持治疗。结论:NRS2002是一种简单可行的营养风险筛查工具,能够对单县中心医院普外科住院患者营养状况进行有效评价;在营养风险筛查基础上应用营养支持尚待进一步规范。Objective: To test the suitability of Nutritional Risk Screening 2002 (NRS 2002) among hospitalized patients and to determine the prevalence of nutritional risk, undernutrition, overweight, obesity, nutritional support of the hospitalized patients. A prospective descriptive design was used to describe patients' data collected in the department of general surgery in Shanxian central hospital. Methods: A total number of 746 consecutive patients, who met the inclusion criteria on admission and provided informed consent, were enrolled. Result: The NRS 2002 was completed by 86.1% of all patients in this study. The overall prevalence of nutritional risk was 9.1%, the prevalence of undernutrition, overweight and obesity was 2%, 36%, and 13%, respectively at admission. Only 89.8% of patients who were at nutritional risk received nutritional support while 10.9% of non-risk patients received nutritional support. Conclusion: NRS 2002 is a feasible nutritional risk screening tool in the department of general surgery in ShanXian central hospital, The prevalence of nutritional risk observed was 9.1%. Inappropriate use of nutritional support was observed in hospitalized patients. Meanwhile the application of nutrition support should be further standardized.
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