全球营养领导层倡议营养不良诊断标准在普外科老年人群中应用现状与进展  

The current status and progress of Global Leadership Initiative on Malnutrition application in the elderly population of general surgery

作　　者：戴尧 季昱东 朱青 马洁[1] 庞明泉[1] 樊海宁[1] 崔红元 Dai Yao;Ji Yudong;Zhu Qing;Ma Jie;Pang Mingquan;Fan Haiming;Cui Hongyuan(Hepatobiliary and Pancreatic Surgery Department of Qinghai University Affiliated Hospital,Qinghai University School of Medicine,Qinghai Xining 810000,China;General Surgery Department of Beijing Hospital,National Geriatrics Center,Institute of Geriatrics of Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]青海大学附属医院青海大学医学院肝胆胰外科,青海西宁810000 [2]北京医院国家老年医学中心中国医学科学院老年医学研究院普通外科,北京100730

出　　处：《临床普外科电子杂志》2024年第1期26-31,共6页Journal of General Surgery for Clinicians(Electronic Version)

基　　金：青海省科技成果转化专项项目(2020-SF-162)。

摘　　要：营养不良在老年人群中的发生率呈逐年上升的趋势,可导致老年人的身体功能下降、易发生感染、延迟康复等,严重影响其生活质量及疾病预后。因此,营养不良的早期识别和诊断对普外科老年患者有着重要的意义。目前针对老年人群营养不良的诊断主要包括全球营养领导层倡议营养不良诊断标准(Global Leadership Initiative on Malnutrition,GLIM)、主观全面评定(Subjective Global Assessment,SGA)等。GLIM进入临床应用较晚,能否全面反映外科老年人群的营养状态仍有争议。本文主要探讨GLIM在普外科老年人群中诊断营养不良的应用现状,旨在为老年人营养不良的诊断提供参考。The incidence of malnutrition in the elderly population is increasing year by year.It can lead to a decline in physical function,susceptibility to infection,and delayed recovery in elderly people,seriously affecting their quality of life and disease prognosis.Therefore,early identification and diagnosis of malnutrition are of great significance for elderly patients in general surgery.At present,the diagnosis of malnutrition in the elderly population mainly includes the Global Leadership Initiative on Malnutrition(GLIM),Subjective Global Assessment(SGA),and so on.GLIM entered clinical application relatively late,and there is still controversy over whether it can comprehensively reflect the nutritional status of the elderly surgical population.This article mainly explores the current application status of GLIM in diagnosing malnutrition in the elderly population of general surgery,aiming to provide reference for the diagnosis of malnutrition in the elderly.

关 键 词：全球营养领导层倡议营养不良诊断标准 普外科 老年人 营养不良 营养风险筛查 

分 类 号：R47[医药卫生—护理学]