NRS-2002用于消化内科住院患者营养筛查预防营养不良的效果研究  

Effect of NRS-2002 to Prevent Malnutrition on Nutritional Screening of Inpatients in Department of Gastroenterology

作　　者：张俊丽[1] 杨小莉[1] 欧艳[1] 李珍艳 Zhang Junli;Yang Xiaoli;Ou Yan(West China Hospital of Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西医院消化内科

出　　处：《四川医学》2019年第7期687-690,共4页Sichuan Medical Journal

摘　　要：目的探讨欧洲营养风险筛查方法(NRS-2002)在消化内科住院患者营养筛查中的应用价值。方法选取2018年1月至6月在我院消化内科住院患者516例,采用NRS-2002进行营养风险评估。结果有17. 25%患者存在营养风险;男女患者营养风险发生率比较差异无统计学意义(P>0. 05)。≥50岁患者营养风险发生率为22. 30%,明显高于<50岁患者,差异有统计学意义(P<0. 05)。消化道出血和消化道恶性肿瘤营养风险发生率分别为32. 69%和28. 21%,明显高于其他疾病,差异有统计学意义(P<0. 05)。有营养风险患者白蛋白(ALB)水平为(31. 83±2. 91) g/L,明显低于无营养风险患者;而营养不良发生率和NRS-2002评分分别为29. 21%和(5. 03±0. 34)分,明显高于无营养风险患者,差异有统计学意义(P<0. 05);NRS-2002评分与ALB呈负相关(r=-0. 539,P<0. 05);89例有营养风险患者中,营养支持率87. 64%,427例无营养风险患者中,营养支持率15. 68%。结论 NRS-2002用于消化内科住院患者的营养筛查有较好的价值,可为营养支持方案的制定提供参考。Objective To explore the application value of European nutritional risk screening method( NRS-2002) in nutritional screening of inpatients in the Department of Gastroenterology. Methods A total of 516 inpatients in the Department of Gastroenterology of our Hospital from January 2018 to June 2018 were selected for nutritional risk assessment by NRS-2002.Results17. 25% of the patients had nutritional risk,and there was no significant difference in the incidence of nutritional risk between male and female patients( P>0. 05).The incidence of nutritional risk in patients≥50 years old was 22. 30%,which was significantly higher than that in patients<50 years old( P<0. 05).The incidence of nutritional risk of gastrointestinal bleeding and gastrointestinal malignant tumor was 32. 69% and 28. 21% respectively,which was significantly higher than that of other diseases( P<0. 05).The albumin( ALB) level in patients with nutritional risk was( 31. 83±2. 91) g/L,which was significantly lower than that in patients without nutritional risk,while the incidence of malnutrition and NRS-2002 score were 29. 21% and( 5. 03 ± 0. 34),respectively,which were significantly higher than those in patients without nutritional risk( P< 0. 05),and the NRS-2002 score was negatively correlated with ALB( r = 0. 539,P<0. 05).Among the 89 patients with nutritional risk,the nutritional support rate was 87. 64%,and in 427 patients without nutritional risk,the nutritional approval rate was 15. 68%.Conclusion NRS-2002 has good value in nutritional screening of inpatients in digestive department,and can provide reference for the formulation of nutritional support program.

关 键 词：欧洲营养风险筛查方法 消化内科 营养风险 营养不良 

分 类 号：R71[医药卫生—妇产科学]