中华临床营养杂志
中華臨床營養雜誌
중화림상영양잡지
CHINESE JOURNAL OF CLINICAL NUTRITION
2010年
5期
279-281
,共3页
李海洋%孙诚谊%胡毅%黄钦贤%中小医院营养风险筛查及营养支持应用调查研究协作组贵阳中心
李海洋%孫誠誼%鬍毅%黃欽賢%中小醫院營養風險篩查及營養支持應用調查研究協作組貴暘中心
리해양%손성의%호의%황흠현%중소의원영양풍험사사급영양지지응용조사연구협작조귀양중심
营养不足%营养风险筛查2002%超重%肥胖%营养支持
營養不足%營養風險篩查2002%超重%肥胖%營養支持
영양불족%영양풍험사사2002%초중%비반%영양지지
Undernutrition%Nutritional Risk Screening 2002%Overweight%Obesity%Nutrition support
目的 调查贵州省中小医院住院患者营养风险、营养不足、超重和肥胖发生率及营养支持的应用现状.方法 采用定点连续抽样,选择2008年2月至2009年3月贵州省4家中小医院普通外科、胸外科、神经内科、消化内科、呼吸内科、肾内科住院患者进行营养风险筛查2002(NRS 2002),于患者入院次日早晨实施,并调查患者2周内(或至出院时)的营养支持状况,分析营养风险和营养支持的关系.NRS2002≥3分为有营养风险,体重指数＜18.5 kg/m2并结合患者临床情况判定为营养不足.结果 共1668例患者人选并全部完成NRS 2002筛查,营养不足和营养风险的发生率分别为12.2%和30.2%,504例有营养风险的患者中54例(11.7%)接受营养支持,所有营养支持均为肠外营养.结论 NRS2002适用于住院患者的营养筛查;营养支持在贵州省中小医院应用不足,应用方式单一,需进一步规范基于循证医学证据的营养支持应用.
目的 調查貴州省中小醫院住院患者營養風險、營養不足、超重和肥胖髮生率及營養支持的應用現狀.方法 採用定點連續抽樣,選擇2008年2月至2009年3月貴州省4傢中小醫院普通外科、胸外科、神經內科、消化內科、呼吸內科、腎內科住院患者進行營養風險篩查2002(NRS 2002),于患者入院次日早晨實施,併調查患者2週內(或至齣院時)的營養支持狀況,分析營養風險和營養支持的關繫.NRS2002≥3分為有營養風險,體重指數＜18.5 kg/m2併結閤患者臨床情況判定為營養不足.結果 共1668例患者人選併全部完成NRS 2002篩查,營養不足和營養風險的髮生率分彆為12.2%和30.2%,504例有營養風險的患者中54例(11.7%)接受營養支持,所有營養支持均為腸外營養.結論 NRS2002適用于住院患者的營養篩查;營養支持在貴州省中小醫院應用不足,應用方式單一,需進一步規範基于循證醫學證據的營養支持應用.
목적 조사귀주성중소의원주원환자영양풍험、영양불족、초중화비반발생솔급영양지지적응용현상.방법 채용정점련속추양,선택2008년2월지2009년3월귀주성4가중소의원보통외과、흉외과、신경내과、소화내과、호흡내과、신내과주원환자진행영양풍험사사2002(NRS 2002),우환자입원차일조신실시,병조사환자2주내(혹지출원시)적영양지지상황,분석영양풍험화영양지지적관계.NRS2002≥3분위유영양풍험,체중지수＜18.5 kg/m2병결합환자림상정황판정위영양불족.결과 공1668례환자인선병전부완성NRS 2002사사,영양불족화영양풍험적발생솔분별위12.2%화30.2%,504례유영양풍험적환자중54례(11.7%)접수영양지지,소유영양지지균위장외영양.결론 NRS2002괄용우주원환자적영양사사;영양지지재귀주성중소의원응용불족,응용방식단일,수진일보규범기우순증의학증거적영양지지응용.
Objective To investigate the prevalence of the nutritional risks, undernutrition, overweight,and obesity, and the application of nutritional support in hospitalized patients in middle and small hospitals of Guizhou province. Methods Adult patients in the departments of general surgery, chest surgery, neurology, gastroenterology, respiratory medicine, and nephrology in four hospitals in Guizhou Province were consecutively enrolled from Feberary 2008 to March 2009. Nutrional Risk Screening 2002 (NRS2002) was performed on the next morning after admission and nutritional support was evaluated on the 14 day of admission or on the discharge day.The relationship between nutritional risk and nutritional support was analyzed. Nutritional risk was defined as NRS 2002 score≥3 and under-nutrition was defined as body mass index ＜ 18.5 kg/m2. Results A total of 1668 patients were enrolled and underwent, NRS 2002 scoring. The nutritional risk was 30. 2% and the prevalence of malnutrition was 12.2%. Although 54 patients ( 11.7 % ) with NRS 2002 ≥ 3 received nutrition support, only parenteral nutrition was applied. Conclusions NRS 2002 is a feasible nutritional risk screening tool for patients in middle and small hospitals. The application of nutrition support is still at a low level, with only parenteral nutrition is applied. Evidence-based nutrition support guidelines are required to standardize the application of nutrition support.
