肠外与肠内营养
腸外與腸內營養
장외여장내영양
PARENTERAL & ENTERAL NUTRITION
2009年
4期
219-221
,共3页
欧洲营养不良风险筛查2002%基层医院%营养不良风险
歐洲營養不良風險篩查2002%基層醫院%營養不良風險
구주영양불량풍험사사2002%기층의원%영양불량풍험
NRS2002%Primary hospital%Nutritional risk
目的: 评估欧洲营养不良风险筛查方法(NRS2002)在基层医院住院病人中进行营养不良风险筛查的可行性. 方法: 共调查799例住院病人,对符合NRS2002评定标准的病人于入院当天进行评分,NRS评分≥3分判定为有营养不良风险;对不符合NRS2002评定标准的病人,于入院第2天检测血清ALB,ALB<35 g/L者,判定为营养不良.结果:697例住院病人行NRS评分,体质指数<18.5者159例(22.8%),NRS评分≥3分者240例(34.4%);因不符合NRS评定标准未行NRS评分者102例,不符合NRS评定标准的原因包括不能站立者66例(64.7%),伴大量胸、腹水者17例(16.7%),不能站立合并胸、腹水者11例(10.8%),神志不清者8例(7.8%),均行ALB检测,ALB<35 g/L者31例(30.4%).结论:NRS2002应用于基层医院住院病人营养不良风险的筛查是可行的,对于不符合NRS评定标准的病人,也可用血清ALB来评定营养不良风险.
目的: 評估歐洲營養不良風險篩查方法(NRS2002)在基層醫院住院病人中進行營養不良風險篩查的可行性. 方法: 共調查799例住院病人,對符閤NRS2002評定標準的病人于入院噹天進行評分,NRS評分≥3分判定為有營養不良風險;對不符閤NRS2002評定標準的病人,于入院第2天檢測血清ALB,ALB<35 g/L者,判定為營養不良.結果:697例住院病人行NRS評分,體質指數<18.5者159例(22.8%),NRS評分≥3分者240例(34.4%);因不符閤NRS評定標準未行NRS評分者102例,不符閤NRS評定標準的原因包括不能站立者66例(64.7%),伴大量胸、腹水者17例(16.7%),不能站立閤併胸、腹水者11例(10.8%),神誌不清者8例(7.8%),均行ALB檢測,ALB<35 g/L者31例(30.4%).結論:NRS2002應用于基層醫院住院病人營養不良風險的篩查是可行的,對于不符閤NRS評定標準的病人,也可用血清ALB來評定營養不良風險.
목적: 평고구주영양불량풍험사사방법(NRS2002)재기층의원주원병인중진행영양불량풍험사사적가행성. 방법: 공조사799례주원병인,대부합NRS2002평정표준적병인우입원당천진행평분,NRS평분≥3분판정위유영양불량풍험;대불부합NRS2002평정표준적병인,우입원제2천검측혈청ALB,ALB<35 g/L자,판정위영양불량.결과:697례주원병인행NRS평분,체질지수<18.5자159례(22.8%),NRS평분≥3분자240례(34.4%);인불부합NRS평정표준미행NRS평분자102례,불부합NRS평정표준적원인포괄불능참립자66례(64.7%),반대량흉、복수자17례(16.7%),불능참립합병흉、복수자11례(10.8%),신지불청자8례(7.8%),균행ALB검측,ALB<35 g/L자31례(30.4%).결론:NRS2002응용우기층의원주원병인영양불량풍험적사사시가행적,대우불부합NRS평정표준적병인,야가용혈청ALB래평정영양불량풍험.
Objective: To evaluate feasibility of using European Nutritional Risk Screening 2002(NRS2002) for nutritional status assessment in primary hospital.Methods: 799 patients were enrolled in this study.697 patients who were according NRS request were assessed using NRS method in hospitalization day.The patient whose NRS scores were higher than 3 were justified under nutritional risk.102 patients who were not according NRS request were assessed by exeamining the serum albumin(ALB) in the next day.The patients whose serum ALB was lower than 35 g/L were justified malnutrition.Results: There were 697 patients could be evaluated by NRS method.Body Mass Index(BMI) was lower than 18.5 in 159(22.8%) cases and NRS scores were ≥3 in 240 cases(34.4 %) among 697 cases.Serum albumin was lower than 35 g/L in 31 (30.4%) cases among 102 cases who could not be evaluated by NRS method because of incapable of standing up(66/102,64.7%) and ascites or hydrothorax(17/102,16.7%) and concomitance of above-mentioned causes(11/102,10.8%) and coma(8/102,7.8%).Conclusion: Assessment of nutritional status of hospitalized patients in primary hospital using NRS2002 method is feasible.The patients who could not be evaluated by NRS 2002 method can be assessed by assaying serum ALB.
