GLIM标准与SGA在神经外科重症病人营养不良诊断中应用的观察性研究  

Observational study of GLIM standard and SGA in the diagnosis of severe malnutrition in neurosurgery patients

作　　者：梁素娟[1] 林晓燕 裴芬霞 姚瑶[2] LIANG Su-juan;LIN Xiao-yan;PEI Fen-xia;YAO Yao(Neurosurgery Center/Department of Neurotrauma and Neurocritical Care Medicine/The National Key Clinical Specialty/The Engineering Technology Research Center of Education Ministry of China on Diagnosis and Treatment of Cerebrovascular Disease/Guangdong Provincial Key Laboratory on Brain Function Repair and Regeneration/The Neurosurgery Institute of Guangdong Province,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,Guangdong,China;Department of Medical Quality Management,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,Guangdong,China)

机构地区：[1]南方医科大学珠江医院,神经外科中心/国家临床重点专科/教育部工程技术研究中心/广东神经外科研究所/广东省脑功能修复与再生重点实验室/神经创伤重症科,广东广州510282 [2]南方医科大学珠江医院,质量管理科,广东广州510282

出　　处：《肠外与肠内营养》2023年第5期304-308,共5页Parenteral & Enteral Nutrition

摘　　要：目的:比较GLIM标准和SGA两种营养不良评定工具在神经外科重症病人营养不良诊断中的应用。方法:按随机抽样,选取2023年1月至2023年4月入住广州市南方医科大学珠江医院神经创伤重症科42例病人,分别采用GLIM标准和SGA量表两种营养评定工具进行营养状态评估,比较GLIM标准和SGA量表诊断营养不良的情况。结果:①病人NRS 2002评分≥3分,营养筛查风险的阳性率为100%(42/42)。②采用GLIM标准诊断的营养不良病人有13例,阳性率30.95%。采用SGA诊断营养不良29例,阳性率69.05%。③GLIM标准和SGA量表评定营养不良结果的Kappa值为0.372,两种营养状态评估工具诊断的结果差异有统计学意义(P<0.05)。结论:神经重症外科病人营养风险高,在GLIM标准下营养不良发生率低,SGA标准下营养不良发生率高,GLIM标准和SGA标准的结果一致性较差。Objective:To compare the application of GLIM and SGA in diagnosing malnutrition among severe neurosurgery patients.Methods:According to random sampling,42 patients admitted to the intensive care unit of Department of Neurotrauma in a Grade-A hospital in Guangzhou from January 2023 to April 2023 were screened.The nutritional status was assessed using GLIM standard and SGA scale,respectively.GLIM criteria and SGA scale were compared in the diagnosis of malnutrition.Results:The patients'NRS 2002 score was(3.90±1.10),and the positive rate of nutritional screening risk was 100%(42/42).13 patients were diagnosed as malnutrition by GLIM criteria,with a positive rate of 30.95%.29 cases were diagnosed as malnutrition by SGA,and the positive rate was 69.05%.The Kappa value of GLIM standard and SGA scale for malnutrition was 0.372,and the difference between the two nutritional status assessment tools was statistically significant(P<0.05).Conclusion:Patients receiving neurocritical surgery had high nutritional risk and had a low incidence of malnutrition under GLIM criteria,while a high incidence of malnutrition under SGA criteria.Moreover,the results of GLIM criteria and SGA were not consistent in the assessment of malnutrition.

关 键 词：神经外科 重症 GLIM 主观整体评估 营养评定 

分 类 号：R459.3[医药卫生—治疗学] R563.1[医药卫生—临床医学]