关节病区住院患者营养风险和营养不足现况调查研究  

Survey of nutritional risk and nutritional deficiency of inpatients in joint disease ward

作　　者：张伦 龚近秋 杨帆[1] ZHANG Lun;GONG Jinqiu;YANG Fan(Department of Clinical Nutrition,The First People's Hospitalof Yunnan Province/Affiliated Hospital of Kunming University of Science and Technology,Kunming Yunnan 650032,China;Department of orthopedics,The First People's Hospitalof Yunnan Province/Affiliated Hospital of Kunming University of Science and Technology,Kunming Yunnan 650032,China)

机构地区：[1]云南省第一人民医院/昆明理工大学附属医院临床营养科,云南昆明650032 [2]云南省第一人民医院/昆明理工大学附属医院骨科,云南昆明650032

出　　处：《云南医药》2025年第2期60-63,共4页Medicine and Pharmacy of Yunnan

基　　金：云南省第一人民医院临床医学中心开放项目(2022YJZX-GK29)。

摘　　要：目的调查骨科关节病区住院患者营养风险及营养不足情况。方法选取2020年9月-2021年9月云南省第一人民医院骨科关节病区收治的605例住院患者,采用NRS2002量表和营养不足评定法进行营养风险筛查和营养不足评定。结果605例住院患者中营养风险发生率为2.31%,营养不足发生率为2.48%,营养风险发生率较高的前三位分别为髋部骨折、四肢躯干骨骨折、关节置换后疼痛/松动/感染;营养不足发生率为2.48%,其中营养不足发生率较高的前三位分别为强直性髋关节炎、股骨头缺血坏死;98例患者存在并发症,其中5例存在营养风险,营养风险发生率为5.10%;13例存在营养不足,营养不足发生率为13.27%,差异有统计学意义(P<0.05)。结论骨科住院关节病区术前患者营养风险及营养不足发生率较低,应重点关注高龄、有并发症、髋部骨折、股骨头缺血坏死等疾病。Objective To investigate the nutritional risk and nutritional deficiency of inpatients in orthopedic joint ward.Methods 605 inpatients admitted to the orthopedic joint ward of Yunnan First People's Hospital from September 2020 to September 2021 were screened for nutritional risk and assessed for undernutrition by NRS2002 scale and undernutrition assessment method.Results The incidence of nutritional risk in 605 inpatients was 2.31%,and the incidence of nutritional deficiency was 2.48%.The top three nutritional risk factors were hip fracture,limb trunk bone fracture,and pain/loosening/infection after joint replacement.The incidence of nutritional deficiency was 2.48%,among which the top three with high incidence of nutritional deficiency were ankylosing hip arthritis,femoral head ischemia and necrosis,and hip fracture.There were complications in 98 patients,among which five patients had nutritional risk,and the incidence of nutritional risk was 5.10%.13 cases had undernutrition,the incidence of nutritional deficiency was 13.27%,the difference was statistically significant(P<0.05).Conclusions Preoperative nutritional risk and incidence of nutritional deficiency of patients in joint ward of orthopedics are low,and disease such as old age,complications,hip fracture,ischemia and necrosis of femoral head and other diseases should be paid attention to.

关 键 词：营养风险 营养不足 关节 筛查 

分 类 号：R459.3[医药卫生—治疗学]