肝胆外科住院患者营养风险筛查与营养不足、营养支持现状分析  

Nutritional risk screening and analysis of undernutrition and nutritional support among hospitalized patients with hepatobiliary diseases

作　　者：周鹏[1] 赵秀美 和洁[3] ZHOU Peng;ZHAO Xiumei;HE Jie(Department of Pharmacy,the Second Affiliated Hospital of Kunming Medical University,Kunming,Yunnan 650101,China;School of Pharmaceutical Science,Kunming Medical University,Kunming,Yunnan 650500,China;Department of Endocrinology,the Second Affiliated Hospital of Kunming Medical University,Kunming,Yunnan 650101,China)

机构地区：[1]昆明医科大学第二附属医院药学部,昆明650101 [2]昆明医科大学药学院,昆明650500 [3]昆明医科大学第二附属医院内分泌科,昆明650101

出　　处：《重庆医学》2020年第2期260-263,共4页Chongqing medicine

摘　　要：目的调查肝胆外科住院患者营养风险筛查、营养不足、营养支持应用和并发症,为合理营养支持提供依据。方法采用营养风险筛查表(NRS2002)对肝胆外科住院患者进行营养风险筛查,并对其营养支持和并发症进行调查。结果肝胆外科住院患者营养不足和营养风险发生率分别为8.9%和24.1%,肝癌营养不足和营养风险发生率最高(25.6%和48.7%);男性营养不足和营养风险发生率为9.3%和23.3%,女性为8.4%和24.8%;≥60岁的老年患者营养不足和营养风险发生率为15.9%和34.1%;56.8%有营养风险的患者接受了营养支持,而无营养风险者中有34.7%接受了营养支持,营养支持方式中肠外营养比例较高。有营养风险患者应用营养支持的并发症发生率(40.7%)较无营养支持(75.6%)降低,无营养风险患者进行营养支持并发症发生率(20.2%)较无营养支持(4.6%)升高。结论给予有营养风险患者营养支持可以改善临床结局。Objective To investigate the nutritional risk,undernutrition,nutritional support and complications in hospitalized patients with hepatobiliary diseases,and to provide evidence for the rational application of nutritional support.Methods The nutritional risks of the inpatients with hepatobiliary diseases were assessed using Nutritional Risk Screening 2002(NRS2002).Application of the nutritional support and complications were collected.Results The undernutrition rate and at-risk rate was 8.9%and 24.1%,respectively.The highest undernutrition rate and at-risk rate appeared in patients with liver cancer(25.6%,48.7%).The undernutrition rate and at-risk was 9.3%and 23.3%in men,8.4%and 24.8%in women,respectively.The undernutrition rate and at-risk rate of elderly inpatients(≥60 years)was 15.9%and 34.1%,respectively.About 56.8%patients with nutritional risk received nutritional support,and 34.7%patients without nutritional risk received nutrition support.The percentage of parenteral nutritional support was high.For the patients with nutritional risk,the complications rates in patients with nutritional support were significantly lower than those without nutritional support(40.7%vs.75.6%).For the patients without nutritional risk,the complications rates in patients with nutritional support were significantly higher than those without nutritional support(20.2%vs.4.6%).Conclusion Nutritional support for inpatients at-risk can alter clinical outcomes.

关 键 词：肝胆外科 营养风险筛查 营养不良 营养支持 并发症 

分 类 号：R954[医药卫生—药学] R969