CAJ | 학술논문

对127例慢性肾脏病(CKD)患者进行营养风险筛查(NRS-2002),按有无营养风险分为2组,比较两组入院2周内的营养支持状况,以及住院时间、住院费用和死亡率.18.1％的CKD患者存在营养风险,CKD早、中、晚期的营养风险率分别为8.2％、9.4％、44.1％.营养风险组平均住院时间中位数为12.5 d,无营养风险组为5.2d；住院费用中位数:营养风险组为11 806元,无营养风险组为5311元,两组比较差异均有统计学意义(均P =0.00)；有营养风险组的营养支持率仅为17.4％.CKD疾病的进展可增加患者的营养风险,营养风险增加住院时间和住院费用.
대127례만성신장병(CKD)환자진행영양풍험사사(NRS-2002),안유무영양풍험분위2조,비교량조입원2주내적영양지지상황,이급주원시간、주원비용화사망솔.18.1％적CKD환자존재영양풍험,CKD조、중、만기적영양풍험솔분별위8.2％、9.4％、44.1％.영양풍험조평균주원시간중위수위12.5 d,무영양풍험조위5.2d；주원비용중위수:영양풍험조위11 806원,무영양풍험조위5311원,량조비교차이균유통계학의의(균P =0.00)；유영양풍험조적영양지지솔부위17.4％.CKD질병적진전가증가환자적영양풍험,영양풍험증가주원시간화주원비용.
To explore the effects of nutritional risks on clinical outcomes [length of stay (LOS),hospitalization expense & mortality] in chronic kidney disease (CKD) patients.A total of 127 CKD patients completed the screening of nutritional risks by Nutritional Risk Screening 2002 (NRS-2002) within 24-48 hours of admission.The data of nutritional supports within 2 weeks of admission,LOS,hospitalization expense and mortality were collected.① Among them,the prevalence of nutritional risks was 18.1％.And the values were 8.2％,9.4％ and 44.1％ in early,middle and advanced CKD groups respectively; ② LOS and hospitalization expense in nutritional risk group were significantly more than the non-nutritional risk group (12.5 d vs.5.2 d,P =0.00 ; 11 806 vs.5311 yuan,P =0.00).There was a positive correlation between NRS score and LOS or hospitalization expense; ③ The nutritional support rate of nutritional risk group was only 17.4％.The progression of CKD increased the nutritional risks leading to greater LOS and hospitalization expense.We should pay more attention to the nutritional risk screening and nutritional intervention in moderate-advanced CKD patients.