中华临床营养杂志
中華臨床營養雜誌
중화림상영양잡지
CHINESE JOURNAL OF CLINICAL NUTRITION
2010年
6期
334-338
,共5页
谭荣韶%麦海妍%闫凤%曾彤梅%何育勤%方仕
譚榮韶%麥海妍%閆鳳%曾彤梅%何育勤%方仕
담영소%맥해연%염봉%증동매%하육근%방사
营养风险%营养不足%慢性肾脏病%营养风险筛查2002%营养干预
營養風險%營養不足%慢性腎髒病%營養風險篩查2002%營養榦預
영양풍험%영양불족%만성신장병%영양풍험사사2002%영양간예
Nutritional risk%Underoutrition%Chronic kidney disease%Nutritional Risk Screening 2002%Nutritional intervention
目的 调查广州市部分医院肾脏内科住院患者的营养风险、营养不足发生率以及营养干预状况,为指导肾脏病患者营养治疗提供依据.方法 采用营养风险筛查2002(NRS 2002)工具,对广州市部分医院378例肾脏内科住院患者进行营养风险筛查,以NRS 2002评分≥3分为有营养风险,体重指数(BMI)<18.5 kg/m2(或白蛋白<30 g/L)为营养不足,并调查营养干预情况,分析营养风险与营养干预之间的关系.结果 378例肾脏内科患者营养不足和营养风险的发生率分别为21.7%和41.3%,其中慢性肾功能不全患者营养不足和营养风险发生率最高,分别为24.3%和60.7%;糖尿病肾病患者的营养风险发生率为42.3%.378例患者中,102例(27.0%)接受了营养支持,其中有营养风险患者的营养支持率为50.0%(78/156),无营养风险患者的营养支持率为10.8%(24/222).结论 广州部分医院肾脏内科住院患者中营养风险或营养不足的发生率较高,营养干预存在不合理性,应引起关注并规范营养干预指南以改善此状况.
目的 調查廣州市部分醫院腎髒內科住院患者的營養風險、營養不足髮生率以及營養榦預狀況,為指導腎髒病患者營養治療提供依據.方法 採用營養風險篩查2002(NRS 2002)工具,對廣州市部分醫院378例腎髒內科住院患者進行營養風險篩查,以NRS 2002評分≥3分為有營養風險,體重指數(BMI)<18.5 kg/m2(或白蛋白<30 g/L)為營養不足,併調查營養榦預情況,分析營養風險與營養榦預之間的關繫.結果 378例腎髒內科患者營養不足和營養風險的髮生率分彆為21.7%和41.3%,其中慢性腎功能不全患者營養不足和營養風險髮生率最高,分彆為24.3%和60.7%;糖尿病腎病患者的營養風險髮生率為42.3%.378例患者中,102例(27.0%)接受瞭營養支持,其中有營養風險患者的營養支持率為50.0%(78/156),無營養風險患者的營養支持率為10.8%(24/222).結論 廣州部分醫院腎髒內科住院患者中營養風險或營養不足的髮生率較高,營養榦預存在不閤理性,應引起關註併規範營養榦預指南以改善此狀況.
목적 조사엄주시부분의원신장내과주원환자적영양풍험、영양불족발생솔이급영양간예상황,위지도신장병환자영양치료제공의거.방법 채용영양풍험사사2002(NRS 2002)공구,대엄주시부분의원378례신장내과주원환자진행영양풍험사사,이NRS 2002평분≥3분위유영양풍험,체중지수(BMI)<18.5 kg/m2(혹백단백<30 g/L)위영양불족,병조사영양간예정황,분석영양풍험여영양간예지간적관계.결과 378례신장내과환자영양불족화영양풍험적발생솔분별위21.7%화41.3%,기중만성신공능불전환자영양불족화영양풍험발생솔최고,분별위24.3%화60.7%;당뇨병신병환자적영양풍험발생솔위42.3%.378례환자중,102례(27.0%)접수료영양지지,기중유영양풍험환자적영양지지솔위50.0%(78/156),무영양풍험환자적영양지지솔위10.8%(24/222).결론 엄주부분의원신장내과주원환자중영양풍험혹영양불족적발생솔교고,영양간예존재불합이성,응인기관주병규범영양간예지남이개선차상황.
Objective To investigate the nutritional risks, prevalence of undernutrition, and nutritional interventions among inpatients in departments of nephrology in some hospitals in Guangzhou, with an attempt to provide evidences for the nutritional support of patients with kidney diseases. Methods Totally 378 adult patients in departments of nephrology in Guangzhou were enrolled in this study by fix-point consecutive sampling. Nutritional Risk Screening 2002 (NRS 2002) was applied for nutritional risk assessment. Nutrition risk was defined by NRS score ≥3 and undernutrition by BMI < 18.5 kg/m2 or serum albumin < 30 g/L. Nutritional interventions were also evaluated in all patients. The relationship between nutritional risk and nutritional support was analyzed. Results The overall prevalence of undernutrition was 21.7% and the nutritional risk was 41.3%. They were especially high among patients with chronic kidney dysfunction (24. 3% and 60. 7% , respectively). The nutritional risk was 42. 3% in patients accompanied with diabetes (P>0. 05). Of these 378 patients, 102 (27.0%) received nutritional interventions, in which the nutritional support rate was 50. 0% (78/156) for patients with nutritional risks and 10. 8% (24/222) for those without nutritional risks. Conclusions The nutritional risks and prevalence of undernutrition are high among inpatients in the departments of nephrology in hospitals in Guangzhou. Proper application of nutritional interventions remains a concern. Evidence-based guidelines are required to improve this situation.