GLIM标准在5236例老年住院患者中的应用研究  

Application of GLIM criteria for malnutrition diagnosis in 5236 elderly inpatients

作　　者：宋静思 杜春燕 邱实[3] 叶隽池 余娜[4] 饶志勇[5] 景小凡[5] Song Jingsi;Du Chunyan;Qiu Shi;Ye Junchi;Yu Na;Rao Zhiyong;Jing Xiaofan(Department of Clinical Nutrition,Cheng Du Shang Jin Nan Fu Hospital,West China Hospital,Sichuan University,Chengdu 611730;Department of Medical Affairs,Cheng Du Shang Jin Nan Fu Hospital,West China Hospital,Sichuan University,Chengdu 611730;Department of Medical Affairs,West China Hospital,Sichuan University,Chengdu 610041;Department of Thoracic Surgery,West China Hospital,Sichuan University,Chengdu 610041;Department of Clinical Nutrition,West China Hospital,Sichuan University,Chengdu 610041)

机构地区：[1]四川大学华西医院上锦医院临床营养科,成都611730 [2]四川大学华西医院上锦医院医务部,成都611730 [3]四川大学华西医院医务部,成都610041 [4]四川大学华西医院胸外科,成都610041 [5]四川大学华西医院临床营养科,成都610041

出　　处：《中华临床营养杂志》2024年第3期150-155,共6页Chinese Journal of Clinical Nutrition

基　　金：规范化临床营养诊疗路径对住院患者的健康和经济结果的影响(2019YJ0042)。

摘　　要：目的基于全球营养领导层诊断营养不良标准(global leadership initiative on malnutrition,GLIM)分析老年住院患者的营养状况。方法选择2021年3月至2022年3月在四川大学华西上锦医院住院的5236例老年患者(年龄≥65岁)为研究对象,采用营养风险筛查2002评分并遵循GLIM标准步骤分析老年住院患者营养状况。结果老年住院患者营养风险发生率为30.29%,GLIM标准下营养不良发生率为15.64%。根据GLIM标准分为营养不良组和非营养不良组。营养不良组血红蛋白、白蛋白、甘油三酯、胆固醇、体重指数均低于非营养不良组,差异有统计学意义(P均<0.05);非营养不良组住院时间较营养不良组更短、住院花费更少,差异有统计学意义(P均<0.001)。结论GLIM标准适用于对老年住院患者的营养状况进行诊断。老年住院患者营养不良发生率较高,应重视老年住院患者营养状况。Objective To analyze the nutritional status of elderly inpatients using Global Leadership Initiative on Malnutrition(GLIM)criteria.Methods A total of 5236 elderly patients(aged 65 years or older)who were hospitalized at the West China Hospital,Sichuan University from March 2021 to March 2022 were included.The nutritional status was analyzed using the GLIM diagnostic criteria for malnutrition.Results The rate of patients at nutritional risk was 30.29%,and the incidence of malnutrition as per GLIM criteria was 15.64%.The levels of hemoglobin,albumin,triglycerides,and cholesterol,and body mass index of the malnutrition group were lower compared with the non-malnutrition group,and the differences were statistically significant(P<0.05).The non-malnutrition group had significantly shorter hospital stay and lower hospitalization costs compared with the malnutrition group(P<0.001).Conclusions The GLIM criteria is suitable for evaluating the nutritional status in elderly inpatients.The incidence of malnutrition in elderly inpatients is relatively high,which deserves attention in clinical management.

关 键 词：GLIM标准 老年住院患者 营养评价 营养不良 

分 类 号：R459.3[医药卫生—治疗学]