营养风险筛查和全球(营养)领导人发起的营养不良诊断(GLIM)第二、三步流程(共识2020)  

Nutritional risk screening and GLIM steps 2 and 3 for the diagnosis of malnutrition and severity of malnutrition(Consensus 2020)

作　　者：无 张献娜 蒋朱明 康维明 于康 伍晓汀[4] 王怡 詹思延[5] 路潜[6] 潘宏铭[7] 叶欣 Chinese Society for Parenteral;Enteral Nutrition(CSPEN)-Nutritional risk-Undernutrition-Support-Outcome-Cost/effectiveness(NUSOC);Zhang Xianna;Jiang Zhuming;Kang Weiming;Yu Kang;Wu Xiaoding;Wang Yi;Zhang Siyan;Lu Qiang;Pan Hongming;Yi Xin(不详;Department of Pancreatic Surgery,Wuhan Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China;Departments of General Surgery-Clinical Nutrition-Medical Record-Room,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Surgery,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Epidemiology and Biostatistics,School of Public Health,Peking University,Beijing 100191,China;School of Nursing,Peking University,Beijing 100191,China;Department of Medical Oncology,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China)

机构地区：[1]中华医学会肠外肠内营养学分会 [2]华中科技大学同济医学院附属协和医院胰腺外科,武汉430022 [3]北京协和医学院北京协和医院基本外科、临床营养科、病案室100730 [4]四川大学华西医院外科,成都610041 [5]北京大学公共卫生学院流行病与卫生统计学系,100191 [6]北京大学护理学院内外科护理学教研室,100191 [7]浙江大学医学院附属邵逸夫医院肿瘤内科,杭州310016 [8]营养风险-不足-支持-结局-成本/效果多中心协作组

出　　处：《中华临床营养杂志》2020年第4期193-200,共8页Chinese Journal of Clinical Nutrition

摘　　要：近10年来,欧美与中国的肠外肠内营养专业学会对于营养诊疗的基本步骤认知一致,即营养筛查、营养评定、营养干预(包括干预后监测)三个基本步骤。2018年9月,全球(营养)领导人发起的营养不良诊断标准共识(global leadership initiative on malnutrition,GLIM)在线发表;2019年1月在美国,同年2月在欧洲正式发表。GLIM中明确第一步骤是:经过所在国的前瞻性临床有效性验证的营养筛查工具,在中国将营养风险筛查2002评分(nutritional risk screening 2002,NRS2002)作为诊断营养不良的第一步骤。中华医学会肠外肠内营养学分会营养风险-不足-支持-结局-成本/效果多中心协作组于2019年7月第44次工作坊筹备会议上,专家组提出:关于NRS2002筛查阳性者需制订营养干预计划及人力资源允许时需使用GLIM第二、三步诊断营养不良和严重程度分级的流程问题进行讨论,并于2019年和2020年经过专家函询问卷、现场表决和线上讨论的三轮方式达成本共识。In the past 10 years,American Society for Parenteral and Enteral Nutrition,European Society for Clinical Nutrition and Metabolism and Chinese Society for Parenteral and Enteral Nutrition have had the similar understanding of the basic steps of nutritional care,namely(nutritional screening-nutritional assessment and nutritional intervention,including post-intervention monitoring).The first step of Global Leadership Initiative on Malnutrition(GLIM)using prospective clinically efficacy validated nutrition screening tool in the country where it is located.Nutritional Risk Screening2002(NRS2002)has validated by correct method of prospective clinical efficacy studies in China.The expert group proposed that when NRS2002 screening positive,a nutritional intervention plan needs to be developed.If human resources permit,steps 2 and 3 of GLIM need to be used to diagnose malnutrition and the severity classification process.

关 键 词：营养风险筛查 NRS2002 营养不良 GLIM 营养不良诊断 DRG 

分 类 号：R459.3[医药卫生—治疗学]