临床普外科电子杂志
臨床普外科電子雜誌
림상보외과전자잡지
Journal of General Surgery for Clinicians (Electronic Version)
2014年
1期
23-26
,共4页
普通外科%营养风险筛查%营养不良
普通外科%營養風險篩查%營養不良
보통외과%영양풍험사사%영양불량
General surgical ward%Nutritional Risk Screening%Malnutrition
目的：调查东营市某三甲医院普通外科住院病人一般情况及存在的营养风险。方法采用定点连续抽样法调查东营市某三甲医院2012年9月至2013年9月肝胆外科、胃肠外科住院患者2936例，进行登记，排除住院时间不足1天、两腺类疾病、疝气静脉曲张等其他类疾病、年龄＜18岁者、严重胸腹水无法称量体重者及不愿参加研究的病例，共准入患者1364例。嘱患者于第二日清晨空腹、免鞋、着病号服量身高、体重，并运用营养风险筛查方法（NRS2002）对患者进行风险筛查。结果在1364例准入患者中，患病年龄为（50.40±15.827）岁，BMI为（20.622±2.7597）kg/m2，其中胃肠类患病年龄为（50.87±18.274）岁，肝胆类患病年龄为（57.53±15.362）岁。胃肠类疾病的营养风险发生率为31.2%，肝胆类疾病营养风险发生率为26.1%，且两者相比差异有统计学意义（P＜0.05）。不同性别营养风险发生率，差异无统计学意义。结论普通外科有一定量的住院病人存在营养风险，特别是胃肠外科病人营养风险较高（31.2%），且与性别无关。
目的：調查東營市某三甲醫院普通外科住院病人一般情況及存在的營養風險。方法採用定點連續抽樣法調查東營市某三甲醫院2012年9月至2013年9月肝膽外科、胃腸外科住院患者2936例，進行登記，排除住院時間不足1天、兩腺類疾病、疝氣靜脈麯張等其他類疾病、年齡＜18歲者、嚴重胸腹水無法稱量體重者及不願參加研究的病例，共準入患者1364例。囑患者于第二日清晨空腹、免鞋、著病號服量身高、體重，併運用營養風險篩查方法（NRS2002）對患者進行風險篩查。結果在1364例準入患者中，患病年齡為（50.40±15.827）歲，BMI為（20.622±2.7597）kg/m2，其中胃腸類患病年齡為（50.87±18.274）歲，肝膽類患病年齡為（57.53±15.362）歲。胃腸類疾病的營養風險髮生率為31.2%，肝膽類疾病營養風險髮生率為26.1%，且兩者相比差異有統計學意義（P＜0.05）。不同性彆營養風險髮生率，差異無統計學意義。結論普通外科有一定量的住院病人存在營養風險，特彆是胃腸外科病人營養風險較高（31.2%），且與性彆無關。
목적：조사동영시모삼갑의원보통외과주원병인일반정황급존재적영양풍험。방법채용정점련속추양법조사동영시모삼갑의원2012년9월지2013년9월간담외과、위장외과주원환자2936례，진행등기，배제주원시간불족1천、량선류질병、산기정맥곡장등기타류질병、년령＜18세자、엄중흉복수무법칭량체중자급불원삼가연구적병례，공준입환자1364례。촉환자우제이일청신공복、면혜、착병호복량신고、체중，병운용영양풍험사사방법（NRS2002）대환자진행풍험사사。결과재1364례준입환자중，환병년령위（50.40±15.827）세，BMI위（20.622±2.7597）kg/m2，기중위장류환병년령위（50.87±18.274）세，간담류환병년령위（57.53±15.362）세。위장류질병적영양풍험발생솔위31.2%，간담류질병영양풍험발생솔위26.1%，차량자상비차이유통계학의의（P＜0.05）。불동성별영양풍험발생솔，차이무통계학의의。결론보통외과유일정량적주원병인존재영양풍험，특별시위장외과병인영양풍험교고（31.2%），차여성별무관。
Objective To investigate the general situation and nutritional risk of inpatients in the of department general surgery in a tertiary hospital of Dongying City. Methods Using continuous sampling survey, a total of 2936 inpatients who were treated in the department of general surgery including in the department of hepatobiliary surgery and the department of gastrointestinal surgery were recorded from September 2012 to September 2013.1364 cases were accessed excluding the patients who stayed in hospital less than one day and the patients with breast disease, thyroid disease, hernia, varix and other diseases, the patients age lower than 18 years old, severe ascites and unable to weigh.The patients were required to measure height, weight with empty stomach,barefoot on the second morning in screening by the nutritional risk screening method (NRS2002). Results Of all the 1364 patients, the patients age was (50.40±15.827) and the BMI of the patients was (20.622±2.7597) kg/m2. The age of patients with gastrointestinal diseases was (50.87±18.274) and the age of patients with hepatobiliary diseases was (57.53±15.362) . The incidence of nutritional risk in the patients with gastrointestinal diseases (31.2%) was higher than those of the patients with hepatobiliary diseases (26.1%). There were no differences in nutritional risk between the male and female patients. Conclusion The patients with gastrointestinal diseases have higher possibilities of nutritional risks in the department of general surgery and were irrespective of gender.
