营养不良通用筛查工具和营养风险筛查2002在炎症性肠病住院患者中应用效果的比较  

Comparison of the Application Effect of Malnutrition Universal Screening Tool and Nutritional Risk Screening 2002 in Hospitalized Patients with Inflammatory Bowel Disease

作　　者：张允[1] 李惠玲[2] 童淑萍[3] 

机构地区：[1]苏州大学附属第三医院重症医学科,江苏常州213003 [2]苏州大学护理学院院长办公室,江苏苏州215006 [3]苏州大学附属第一医院护理部,江苏苏州215006

出　　处：《解放军护理杂志》2015年第10期29-32,37,共5页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的比较营养不良通用筛查工具(malnutrition universal screening tools,MUST)和营养风险筛查2002(nutritional risk screening 2002,NRS2002)在炎症性肠病(inflammatory bowel disease,IBD)住院患者中的应用效果。方法选择2014年1-7月常州市3所三级甲等医院收治的IBD患者93例,分别应用MUST和NRS2002对其进行营养风险筛查并比较。结果MUST和NRS2002对IBD患者的筛查结果显示,两种方法的营养筛查结果一致性较好(Kappa=0.876,P<0.001),IBD患者的疾病严重程度与营养风险发生率呈正相关;除TLC外,无或低危营养风险组的身体质量指数、上臂肌围、腹围、肱三头肌皮褶厚度、红蛋白、白蛋白和前白蛋白均高于有或中高危营养风险组,差异均有统计学意义(均P<0.01)。结论 MUST和NRS2002对IBD住院患者的营养风险筛查结果有良好的一致性,疾病严重程度与营养风险发生率存在相关性;传统营养指标是筛查IBD住院患者有无营养风险的比较灵敏的指标。Objective To compare the application effect of Malnutrition Universal Screening Tool （MUST） and Nutritional Risk Screening 2002（NRS2002） in hospitalized patients with inflammatory bowel disease. Methods Totally 93 eases were selected and the patients＇ nutritional risk was assessed with MUST and NRS 2002,an all data were compared.Results The screening results of the two groups showed that the consistency of the two tools was good （kappa value=0.876,P〈0.01） ,and the disease severity and incidence of nutritional risk were positively correlated.Except TLC, body mass index,mid-arm muscle circ-umference, abdominal girth, triceps skin fold thickness, sulfmethemoglobin, albumin and pre albumin of no or low nutritional risk group were higher than the those of having nutritional risk group （all P〈0.01）. Conclusion The screening result of the two tools has good consistency.Traditional nutrition indicators are relatively sensitive indicators used in nutrition risk screening of hospitalized patients of inflammatory bowel disease.

关 键 词：炎症性肠病 营养不良通用筛查工具 营养风险筛查 2002 营养风险筛查 

分 类 号：R197.323[医药卫生—卫生事业管理]