NRS-2002联合BMI、ALB水平检查诊断消化内科患者营养状况的价值研究  

The Role of NRS-2002 in Screening Nutritional Status of Patients in Digestive Department and Its Relationship with BMI and ALB

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,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西医院消化内科,四川成都610041

出　　处：《四川医学》2020年第4期380-383,共4页Sichuan Medical Journal

摘　　要：目的探讨欧洲营养风险筛查2002(NRS-2002)在消化内科患者营养状况筛查中的相关性以及与BMI、ALB的关系。方法选取2018年1月至5月在我院消化内科住院患者406例,均给予NRS-2002进行营养评估,同时与体质指数(BMI)及血清白蛋白(ALB)结果进行比较。结果有14.78%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18.60%,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26.92%和24.62%,明显高于其他疾病,差异有统计学意义(P<0.05);以BMI<18.5kg/m^2为营养不良的标准,NRS-2002判断营养不良的灵敏度、特异度、阳性预测值和阴性预测值分别为75.00%、94.86%、70.00%和95.95%;以ALB<30g/L为营养不良的标准,NRS-2002判断营养不良的灵敏度、特异度、阳性预测值和阴性预测值分别为74.19%、95.93%、76.67%和95.38%;NRS-2002评分与ALB、BMI呈负相关(r=-0.510和-0.522,P<0.05)。结论 NRS-2002在消化内科病人营养状况筛查中有较好的应用价值,与患者BMI、ALB水平呈负相关。Objective To explore the role of European Nutrition Risk Screening 2002( NRS-2002) in nutritional status screening of patients in gastroenterology department and its relationship with BMI and ALB.Methods 406 cases of hospitalized patients in the digestive department of our hospital from January 2018 to May 2018 were selected and all were given NRS-2002 nutrition assessment,and the results were compared with the results of body mass index( BMI) and serum albumin( ALB).Results 14.78% of the patients had nutritional risk;There was no significant difference in the incidence of nutritional risk between men and women( P>0.05);The incidence of nutritional risk in patients ≥50 years old was 18.60%,which was significantly higher than that in patients<50 years old( P < 0.05);The incidence of nutritional risk of gastrointestinal bleeding and gastrointestinal cancer were 26.92% and 24.62%,were significantly higher than other diseases( P < 0.05);With BMI < 18.5 kg/m2 as a malnutrition standard,the sensitivity,specificity,positive predictive value and negative predictive value of NRS-2002 was used to determine malnutrition were 75.00%,94.86%,70.00% and 95.95%;With ALB< 30 g/L as a malnutrition standard,the sensitivity,specificity,positive predictive value and negative predictive value of NRS-2002 was used to determine malnutrition were 74.19%,95.93%,76.67% and 95.38%;NRS-2002 score were negatively correlated with ALB and BMI( r =-0.510 and-0.522,P< 0.05).Conclusion NRS-2002 has a good application value in screening nutritional status of patients in digestive department,and negatively correlated with BMI and ALB levels.

关 键 词：欧洲营养风险筛查2002 营养状况筛查 消化内科 体重指数 白蛋白 

分 类 号：R71[医药卫生—妇产科学]