NRS2002、SGA及MNA在普外科患者中的应用研究  

Comparison of three kinds of nutritional screening tools in clinical application of general surgery patients application

作　　者：高晓明[1] 郝春燕[1] 朱培华[1] 王军静[1] 严鹏[1] 陈荣[1] 

机构地区：[1]邢台医学高等专科学校第二附属医院普外科,河北邢台054002

出　　处：《中国现代普通外科进展》2017年第6期454-457,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:比较营养风险筛查工具NRS2002、SGA及MNA对普外科住院患者的适应性和一致性,及其筛查结果与临床结局的关系。方法:采用连续定点抽样,选择符合入选标准、获得知情同意的行腹部中等程度以上手术的普外科患者,于入院次日晨及术后行MNA、NRS2002及SGA评分,并比较每种工具所得筛查结果和临床结局的关系。结果:入院MNA、NRS2002及SGA对普外科患者的适用性分别为97.25%、97.25%及98.35%,MNA、NRS2002及SGA对患者营养风险的评价具有一致性,NRS2002、SGA及MNA筛查结果与临床结局具有一定的相关性。结论:3种营养风险筛查工具对普外科患者营养不足的筛查均有较好的适用性,筛查结果和临床结局的关系较为密切。Objective： To compare the applicability and consistency of NRS2002, SGA and MNA in general surgery hospitalized patients and analyze the effect in clinical outcomes of NRS results with respect to each tool. Methods： The 150 patients hospitalized in our hospital were chosen as object of study, to screen and evaluate nutritional risk of patients by NRS 2002, SGA and MNA, respectively, on the second hospital day, then to compare the consistency of NRS results with respect to the four tools on clinical outcomes. Results： The applicabilities of hospital NRS2002, SGA and MNA were alternatively 97.25, 97.25% and 98.35% .The evaluation of patients＇ NRS corresponding to different four tools was consistent. The effects of screening results of MNA, NRS2002 and SGA on clinical outcomes were most closely related. Conclusion： The three nutritional evaluation tools can be applied to the screening of malnutrition in General Surgery. The effects of screening results of NRS2002 and SGA on clinical outcomes were most closely related.

关 键 词：营养筛查工具 普外科 营养不良 

分 类 号：R446.1[医药卫生—诊断学]