CAJ | 학술논문

目的：调查老年住院患者营养风险，及不同营养风险状况的临床结局。方法对2012年3月至2012年4月北京友谊医院7个科室住院，并且≥65岁患者运用营养风险筛查2002（NRS2002）进行调查，并分析存在营养风险的患者与无营养风险患者间的住院时间、并发症的差异。结果共有386位患者入选，存在营养风险的患者共166例，占43.0％。神经内科存在营养风险的患者最多，并且与呼吸科、骨科和心内科相比有显著性差异（ P <0.05）；存在营养风险患者最少的是心内科，其比率显著低于其他各科（ P <0.05）。65岁≤年龄≤74岁的患者组中有营养风险的比率显著地低于75岁≤年龄≤84岁患者组（ P <0.05）及年龄≥85岁的患者组（ P <0.05）。有营养风险的患者组总并发症、感染并发症以及住院时间均高于无营养风险组（ P <0.05）。结论老年住院患者存在营养风险并不少见，尤其是神经内科。随着年龄的增加，有营养风险的患者比率增加。有营养风险的患者并发症的发生率及住院时间均显著高于无营养风险的患者。
목적：조사노년주원환자영양풍험，급불동영양풍험상황적림상결국。방법대2012년3월지2012년4월북경우의의원7개과실주원，병차≥65세환자운용영양풍험사사2002（NRS2002）진행조사，병분석존재영양풍험적환자여무영양풍험환자간적주원시간、병발증적차이。결과공유386위환자입선，존재영양풍험적환자공166례，점43.0％。신경내과존재영양풍험적환자최다，병차여호흡과、골과화심내과상비유현저성차이（ P <0.05）；존재영양풍험환자최소적시심내과，기비솔현저저우기타각과（ P <0.05）。65세≤년령≤74세적환자조중유영양풍험적비솔현저지저우75세≤년령≤84세환자조（ P <0.05）급년령≥85세적환자조（ P <0.05）。유영양풍험적환자조총병발증、감염병발증이급주원시간균고우무영양풍험조（ P <0.05）。결론노년주원환자존재영양풍험병불소견，우기시신경내과。수착년령적증가，유영양풍험적환자비솔증가。유영양풍험적환자병발증적발생솔급주원시간균현저고우무영양풍험적환자。
Objective To investigate the prevalence of nutritional risk and the relationship between nutritional risk and clinical outcomes in elderly inpatients. Methods Geriatric patients 65 years and older hospitalized in seven departments of Beijing Friendship Hospital were consec-utively enrolled between March to April 2012. Nutritional Risk Screening 2002(NRS 2002)was performed after admission. The length of hospital stay and the incidence of complications were compared between patients with and without nutritional risk. Results A total of 386 patients were en-rolled,and there were 166 patients with nutritional risk,accounting for 43. 0% . The incidence rate of nutrition risk of patients was highest in Neu-rology Department among seven departments,and there were significant differences( P < 0. 05)compared with respiratory,orthopedic and cardi-ology department. The incidence rate of nutrition risk of patients was lowest in Cardiology Department,and there were significant differences( P< 0. 05)compared with other departments. The nutritional risk of the patients aged between 65 and 74 years were significantly lower than those aged between 75 and 84 years( P < 0. 05 )and those aged 85 and over( P < 0. 05 ). The incidence of total complications and infection were higher and length of hospital stay was longer in the group of patients with nutritional risk than those in the group of patients without nutritional risk ( P < 0. 05). Conclusion The elderly inpatients with nutritional risk are common,especially in Neurology Department. The rate of nutritional risk grows with the age increases. The incidence of complications is higher and length of hospital stay is longer in patients with nutritional risk than those in patients without nutritional risk.