3种营养风险评价法对COPD合并营养不良的筛查和指导价值  

Screening and Guidance Value of Three Nutritional Risk Assessment Methods for COPD Combined with Malnutrition

作　　者：王娟[1] 张红丽[1] 邓燕[1] WANG Juan;ZHANG Hong-li;DENG Yan(The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,China)

机构地区：[1]新疆医科大学第一附属医院呼吸重症,乌鲁木齐830000

出　　处：《中国食物与营养》2023年第12期48-51,共4页Food and Nutrition in China

基　　金：新疆维吾尔自治区自然科学基金“跨理论模型干预对COPD患者运动肺康复及衰弱状况的影响研究”(项目编号:2017D01C288)。

摘　　要：目的:探究NRS 2002、MNA、MUST 3种营养风险评价法对COPD合并营养不良的筛查和指导价值。方法:研究对象选取我院2021年1月—2022年12月收治的COPD患者合计142例,根据传统营养评估方法分为营养不良组(71例)及营养良好组(71例)。比较2组患者NRS 2002、MNA、MUST 3种营养风险评价评分、体格检查指标、营养学指标及NRS 2002、MNA、MUST 3种营养风险评价评分与传统营养评估方法一致性,并比较其评估效能。结果:营养良好组MNA、MUST评分显著高于营养不良组,NRS 2002评分显著低于营养不良组(P<0.05);营养良好组TSF、AMC、CC、BMI显著高于营养不良组(P<0.05);营养良好组TP、ALB、Hb显著高于营养不良组,TF低于营养不良组(P<0.05);以传统营养评估为金标准,NRS 2002、MNA、MUST评分Kappa检验结果分别为0.662、0.620、0.634;3种营养风险评价评分评估效能比较差异无统计学意义(P>0.05)。结论:NRS 2002、MNA、MUST 3种营养风险评价法对COPD合并营养不良的筛查均有较好一致性及诊断效能,临床应用可根据患者实际情况进行选择。【Objective】To explore the screening and guiding value of NRS 2002,MNA and MUST for COPD combined with malnutri⁃tion.【Method】A total of 142 COPD patients admitted to our hospital from January 2021 to December 2022 were selected as subjects and divided into malnutrition group(71 cases)and good nutrition group(71 cases)according to traditional nutritional assessment methods.The consistency of NRS 2002,MNA and MUST nutritional risk assessment scores,physical examination index,nutrition index and NRS 2002,MNA and MUST nutritional risk assessment scores with traditional nutritional assessment methods was compared between the two groups,and the evaluation efficacy was compared.【Result】The score of MNA and MUST in good nutrition group was significantly higher than that in malnutrition group,and the score of NRS 2002 was significantly lower than that in malnutrition group(P<0.05).TSF,AMC,CC and BMI of well-nourished group were significantly higher than those of malnourished group(P<0.05).TP,ALB and Hb in wellnourished group were significantly higher than those in malnutrition group,while TF was lower than that in malnutrition group(P<0.05).With traditional nutritional evaluation as the gold standard,the results of NRS 2002,MNA and MUST score Kappa test were 0.662,0.620 and 0.634,respectively.There was no significant difference in the efficacy of the three nutritional risk assessment scores(P>0.05).【Conclusion】NRS 2002,MNA and MUST have good consistency and diagnostic efficacy in the screening of COPD combined with malnutri⁃tion,and the clinical application can be selected according to the actual situation of patients.

关 键 词：NRS 2002 MNA MUST 慢性阻塞性肺病 营养不良 

分 类 号：R563.9[医药卫生—呼吸系统] R459.3[医药卫生—内科学]