两种营养评价方法在老年脑出血患者营养筛查中的应用  

Application and comparison of two kinds of nutritional evaluation methods in nutritional screening in elderly patients with spontaneous intracerebral hemorrhage

作　　者：陈伟[1] 王朝琴[2] 黄宗谭[1] 郭大芬[1] 雷丹[1] 姚声涛[1] 

机构地区：[1]贵州省遵义医学院附属医院脑血管病科,563003 [2]遵义医学院护理学院,563003

出　　处：《中华老年医学杂志》2016年第8期820-823,共4页Chinese Journal of Geriatrics

基　　金：贵州省卫生厅项目（项目编号：gzwkj2013-1-062）;国家临床护理重点建设专科项目

摘　　要：目的探讨营养风险筛查2002（NRS2002）和微型营养评定法简版（MNA-SF）在老年自发性脑出血患者中的应用效果，并评价2种工具的适用性。方法采用NRS2002、MNA-SF对60例老年自发性脑出血患者进行营养不良风险筛查，根据评分结果判断患者有无潜在的营养风险，比较2种营养评价工具应用效果。结果采用NRS2002评分≥3分者59例（98．3％），〈3分者仅1例（1．7％）。采用MNA-SF评分12～14分3例，占5．0％；8～11分7例，占11．7％；0～7分50例，占83．3％。2种营养评价方法筛查的营养不良风险发生率差异无统计学意义（X^2=1．034，P=0．619）。结论老年自发性脑出血患者住院期间营养不良的风险高，NRS2002和MNA-SF2种方法对于老年自发性脑出血患者均适用，MNA～SF更方便、快捷、全面。Objective To investigate the application effect of two methods, the nutritional risk screening 2002 （NRS 2002） and the mini nutritional assessment short-form （MNA-SF）, on nutritional screening in elderly patients with spontaneous intracerebral hemorrhage, and to evaluate the applicability of two kinds of methods. Methods Using NRS 2002 and MNA-SF, the malnutrition risk screening was performed in 60 cases of elderly patients with cerebral hemorrhage. Based on malnutrition risk score results, the potential nutritional risks were judged, and the application effectiveness was compared between two nutritional evaluation tools. Results Among 60 cases, there were 59 （98.3%） cases with NRS-2002 score≥3, and 1 （1.7%） case with NRS-2002 score 3. By contrast, using the MNA-SF analysis, among 60 cases there were 3 （5.0%） cases with score of 12 14, 7 （11.7%） cases with score of 8-11, and 50 （83.3%） cases with score of 0-7. No statistically significant difference was found between these two methods for analyzing the malnutrition risk incidence （X^2=1. 034, P=0. 619）. Conclusion The risk grade of malnutrition is very high in elderly patients with spontaneous intracerebral hemorrhage during the period of hospitalization. NRS 2002 and MNA-SF are both applicable for the nutritional screening in the elderly patients with spontaneous cerebral hemorrhage. Clinical application is more convenient, fast and comprehensive with MNA-SF than with NRS 2002.

关 键 词：脑出血 营养评价 

分 类 号：R743.34[医药卫生—神经病学与精神病学]