NRS 2002筛查COPD病人营养风险及与检查指标的相关性  

Application of Nutritional Risk Screening 2002 among COPD inpatients and exploration on relationship NRS 2002 with diagnosis indexes

作　　者：尹海星 刘永[2] 朱文艺[3] 王建[3] 

机构地区：[1]十堰市国药东风茅箭医院急诊科,湖北十堰442000 [2]重庆医药高等专科学校护理学院内科护理教研室,重庆400030 [3]第三军医大学新桥医院营养科,重庆400037

出　　处：《肠外与肠内营养》2017年第5期301-305,共5页Parenteral & Enteral Nutrition

基　　金：国家自然科学基金资助项目(81273058)

摘　　要：目的 :用NRS 2002对住院COPD病人进行营养风险筛查,探讨NRS 2002营养风险筛查结果与体格检查指标和生化指标的相关性。方法 :随机抽取2015年1月~2015年12月入院住院的COPD病人218例,用NRS 2002进行营养风险筛查,同时进行体格检查,计算对应指标,测定血生化指标,分析NRS 2002营养风险筛查结果与体格检查指标和生化指标的相关性。结果 :218例住院COPD病人中存在营养风险者(NRS 2002≥3分)69例,发生率31.7%,不同年龄段和不同肺功能分级病人间营养风险发生率差异有统计学意义(P<0.05)。NRS 2002营养风险筛查结果与2个体格检查指标(BMI和FFMI)和2个生化指标(ALB和PA)存在关联性(P<0.05)。结论 :住院COPD病人营养风险发生率较高,老年病人尤甚。NRS 2002适合作为住院COPD病人营养风险筛查工具,但在临床应用中应结合体格检查指标和生化指标进行全面综合营养评估。Objective： To explore the potential relationship between nutritional risk evaluated by NRS 2002 and the indexes of physical and biochemical parameters. Methods： From January 2015 to December 2015, 218 hospitalized patients with chronic obstructive pulmonary disease （COPD） were randomly selected to assess the nutrition risk by using NRS 2002, and the physical examination indexes and biochemical indicators were also collected. The potential correlations between NRS 2002 score and the physical and biochemical parameters were analyzed. Results： The incidence of nutritional risk （the score of NRS 2002 ≥ 3） was 31.7% in 218 COPD inpatients. Both age and pulmonary function was significantly related to the incidence of nutritional risk （P 〈 0.05）. The relevance also was found between NRS 2002 score and 2 physical indexes （BMI and FFMI） and 2 biochemical indicators （ALB and PA）, Conclusion： The frequency of nutritional risk is very high among hospitalized patients with COPD, especially in old patients. NRS 2002 is a suitable nutritional risk screening tool in COPD patients, but a comprehensive nutrition assessment should combine proper nutritional risk screening tool with physical examination indexes and biochemical indicators in clinical applications.

关 键 词：慢性阻塞性肺疾病(COPD) 营养风险筛查2002 营养不良 体格检查 生化指标 

分 类 号：R459.3[医药卫生—治疗学]