中华临床营养杂志
中華臨床營養雜誌
중화림상영양잡지
CHINESE JOURNAL OF CLINICAL NUTRITION
2010年
3期
134-136
,共3页
门吉芳%唐大年%李喆%张丹静%朱明炜%李磊%奚宇虹%韦军民
門吉芳%唐大年%李喆%張丹靜%硃明煒%李磊%奚宇虹%韋軍民
문길방%당대년%리철%장단정%주명위%리뢰%해우홍%위군민
营养风险%营养不足%营养支持
營養風險%營養不足%營養支持
영양풍험%영양불족%영양지지
Nutritional risk%Malnutrition%Nutritional support
目的 调查老年肝胆外科住院患者营养风险、营养不足发生率以及营养支持应用状况.方法 采用定点连续抽样,对156例老年肝胆外科住院患者(≥65岁)入院后第2天早晨和住院2周或出院时进行营养风险筛查2002(NRS 2002)的动态描述性研究.结果 NRS 2002的适用率为96.8%(151/156).患者总的营养风险发生率为36.9%(57/156),营养不足发生率为26.2%(41/156).住院时间大于2周的患者营养风险和营养不足发生率分别为49.6%和36.7%,住院时间小于2周的患者营养风险和营养不足发生率分别为37.3%和21.4%,两者相比差异具有统计学意义(P<0.05).存在营养风险和无营养风险患者营养支持率分别为64.1%和17.4%.其中,接受大手术患者中有营养风险和无营养风险患者的营养支持率分别为87.9%和36.8%,接受中、小手术患者中有营养风险和无营养风险患者的营养支持率分别为41.3%和9.6%.结论 NRS 2002适用于老年肝胆外科住院患者的营养风险筛查.住院时间大于2周老年肝胆外科住院患者营养风险和营养不足发生率反而有所增加.临床营养支持在肝胆外科需要更加重视住院患者的营养问题,临床上存在肠外、肠内营养的不合理应用.
目的 調查老年肝膽外科住院患者營養風險、營養不足髮生率以及營養支持應用狀況.方法 採用定點連續抽樣,對156例老年肝膽外科住院患者(≥65歲)入院後第2天早晨和住院2週或齣院時進行營養風險篩查2002(NRS 2002)的動態描述性研究.結果 NRS 2002的適用率為96.8%(151/156).患者總的營養風險髮生率為36.9%(57/156),營養不足髮生率為26.2%(41/156).住院時間大于2週的患者營養風險和營養不足髮生率分彆為49.6%和36.7%,住院時間小于2週的患者營養風險和營養不足髮生率分彆為37.3%和21.4%,兩者相比差異具有統計學意義(P<0.05).存在營養風險和無營養風險患者營養支持率分彆為64.1%和17.4%.其中,接受大手術患者中有營養風險和無營養風險患者的營養支持率分彆為87.9%和36.8%,接受中、小手術患者中有營養風險和無營養風險患者的營養支持率分彆為41.3%和9.6%.結論 NRS 2002適用于老年肝膽外科住院患者的營養風險篩查.住院時間大于2週老年肝膽外科住院患者營養風險和營養不足髮生率反而有所增加.臨床營養支持在肝膽外科需要更加重視住院患者的營養問題,臨床上存在腸外、腸內營養的不閤理應用.
목적 조사노년간담외과주원환자영양풍험、영양불족발생솔이급영양지지응용상황.방법 채용정점련속추양,대156례노년간담외과주원환자(≥65세)입원후제2천조신화주원2주혹출원시진행영양풍험사사2002(NRS 2002)적동태묘술성연구.결과 NRS 2002적괄용솔위96.8%(151/156).환자총적영양풍험발생솔위36.9%(57/156),영양불족발생솔위26.2%(41/156).주원시간대우2주적환자영양풍험화영양불족발생솔분별위49.6%화36.7%,주원시간소우2주적환자영양풍험화영양불족발생솔분별위37.3%화21.4%,량자상비차이구유통계학의의(P<0.05).존재영양풍험화무영양풍험환자영양지지솔분별위64.1%화17.4%.기중,접수대수술환자중유영양풍험화무영양풍험환자적영양지지솔분별위87.9%화36.8%,접수중、소수술환자중유영양풍험화무영양풍험환자적영양지지솔분별위41.3%화9.6%.결론 NRS 2002괄용우노년간담외과주원환자적영양풍험사사.주원시간대우2주노년간담외과주원환자영양풍험화영양불족발생솔반이유소증가.림상영양지지재간담외과수요경가중시주원환자적영양문제,림상상존재장외、장내영양적불합리응용.
Objective To investigate the nutritional risk,malnutrition rate,and nutritional support in elderly inpafients with hepatobiliary diseases.Methods Totally 156 eldedy inpatients(≥65 years)with hepatobiliary diseases were consecutively enrolled.Nutritional Risk Screening 2002(NRS 2002)was applied to screen nutritional risks on the next morning after admission and two weeks after admission or on the discharge day.Results Of 156 enrolled patients,151 patients(96.8%)completed the NRS 2002 screening.The nutrition risk and malnutrition rate were 36.9%(57/156)and 26.2%(41/156),respectively.The nutrition risk and malnutrition rate were significantly higher in patients with a hospital stay longer than 2 weeks than those with a hospital stay less than 2 weeks(49.6%and 36.7% vs.37.3%and 21.4%,respectively)(both P<0.05).In addition,100 patients(64.1%)with nutrition risk received nutrition support and 27 patients(17.3%)without nutrition risk received nutrition support.Among patients who had undergone major abdominal surgeries,137 patients(87.9%)with nutrition risk received nutrition support while 57 patients(36.8%)without nutrition risk received nutrition support.Conclusions NRS 2002 is a feasible nutritional risk screening tool for elderly inpatients with hepatobiliary diseases.A hospital stay more than 2 weeks the morbidity of the nutritional risk and malnutrition rate increased.Seems the value of nutritional support has not been well recognized in the department of hepatobiliary surgery,inappropriate application of nutritional support still exists.
