营养风险筛查和微型营养评定用于高龄慢性肾脏病患者营养筛查的比较  

The Comparison of Nutrition Risk Screening and Mini Nutritional Assessment in Nutrition Screening of Elderly Patients with Chronic Kidney Diseases

作　　者：赖渊杰 李敏[2] 王娇[1] 王孝廉[1] 康晴[1] 高巧纳 

机构地区：[1]福建医科大学附属第一医院,福建福州350005 [2]福建中医药大学附属康复医院,福建福州350003

出　　处：《按摩与康复医学》2017年第18期56-58,共3页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的:调查营养不足(营养不良)、超重、肥胖在高龄慢性肾脏病患者中的发生率,对高龄肾脏病患者进行营养风险筛查2002(NRS2002)和微型营养评定(MNA),比较两者的适用性。方法:对167例高龄肾脏病患者在入院24h内分别采用营养风险筛查和微型营养评定进行营养筛查,比较两种方法的筛查效果。结果:167例患者均完成NRS2002和MNA;BMI显示营养不足、超重和肥胖发生率分别为15.6%、32.3%和7.8%;NRS2002显示营养风险发生率为38.3%,MNA显示营养不良总发生率为41.9%,差异无统计学意义(P=0.451>0.05)。结论:NRS2002和MNA均适用于老年慢性肾脏病患者的营养筛查。Objective： To investigate the incidence of malnutrition, overweight and obesity in elderly patients with chronic kidney diseases, and to compare the applicability of Nutrition Risk Screening 2002 （NRS2002） and Mini Nutritional Assessment （MNA） to the patients. Methods： Nutrition screening was conducted in 24 hours after admitted to hospital to compare the screening effect of NRS2002 and MNA on 167 cases of elderly kidney diseases patients. Results： 167 cases of patients had all finished NRS2002 and MNA screening; BMI showed that the incidence of malnutrition, over- weight and obesity was respectively 15.6%, 32.3% and 7.8%; NRS2002 showed that the incidence of nutritional risk was 38.3% while overall incidence of malnutrition with MNA was 41.9%, which difference had no statistical significance （P=-0.451〉0.05）. Conclusion： NRS2002 and MNA are both suitable for nutrition screening in elderly patients with chronic kidney diseases.

关 键 词：慢性肾脏病 营养风险筛查 微型营养评定 营养不足 老年人 BMI 

分 类 号：R692[医药卫生—泌尿科学]