中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
3期
145-147
,共3页
河源地区%上消化道穿孔%营养状况%营养风险筛查
河源地區%上消化道穿孔%營養狀況%營養風險篩查
하원지구%상소화도천공%영양상황%영양풍험사사
Heyuan area%Upper gastrointestinal tract perforation%Nutriture%Nutritional risk screening
目的：探讨河源地区上消化道穿孔患者营养状况及营养风险筛查。方法采取连续定点抽样法，对124例上消化道穿孔患者的营养状况、营养风险筛查及营养支持进行分析。结果年龄<60岁组与≥60岁组的营养不足发生率比较，差异无统计学意义(P跃0.05)。年龄<60岁组的营养风险发生率显著低于年龄≥60岁组，差异有统计学意义(P<0.05)。营养风险组的BMI、HB、PA及ALB水平显著高于营养不足组，差异有统计学意义(P<0.05)。营养风险组的肠内营养联合肠外营养、仅肠内营养、仅肠外营养支持率显著高于无营养风险组，差异有统计学意义(P<0.05)。实施营养支持组的住院时间、并发症发生率及住院费用显著低于未实施营养支持组，差异有统计学意义(P<0.05)。结论对上消化道穿孔患者进行营养状况评估与营养风险筛查，且对存在营养风险的患者采取积极营养支持治疗，能够明显降低患者的医疗费用，缩短住院时间，具有一定的社会效益及经济效益。
目的：探討河源地區上消化道穿孔患者營養狀況及營養風險篩查。方法採取連續定點抽樣法，對124例上消化道穿孔患者的營養狀況、營養風險篩查及營養支持進行分析。結果年齡<60歲組與≥60歲組的營養不足髮生率比較，差異無統計學意義(P躍0.05)。年齡<60歲組的營養風險髮生率顯著低于年齡≥60歲組，差異有統計學意義(P<0.05)。營養風險組的BMI、HB、PA及ALB水平顯著高于營養不足組，差異有統計學意義(P<0.05)。營養風險組的腸內營養聯閤腸外營養、僅腸內營養、僅腸外營養支持率顯著高于無營養風險組，差異有統計學意義(P<0.05)。實施營養支持組的住院時間、併髮癥髮生率及住院費用顯著低于未實施營養支持組，差異有統計學意義(P<0.05)。結論對上消化道穿孔患者進行營養狀況評估與營養風險篩查，且對存在營養風險的患者採取積極營養支持治療，能夠明顯降低患者的醫療費用，縮短住院時間，具有一定的社會效益及經濟效益。
목적：탐토하원지구상소화도천공환자영양상황급영양풍험사사。방법채취련속정점추양법，대124례상소화도천공환자적영양상황、영양풍험사사급영양지지진행분석。결과년령<60세조여≥60세조적영양불족발생솔비교，차이무통계학의의(P약0.05)。년령<60세조적영양풍험발생솔현저저우년령≥60세조，차이유통계학의의(P<0.05)。영양풍험조적BMI、HB、PA급ALB수평현저고우영양불족조，차이유통계학의의(P<0.05)。영양풍험조적장내영양연합장외영양、부장내영양、부장외영양지지솔현저고우무영양풍험조，차이유통계학의의(P<0.05)。실시영양지지조적주원시간、병발증발생솔급주원비용현저저우미실시영양지지조，차이유통계학의의(P<0.05)。결론대상소화도천공환자진행영양상황평고여영양풍험사사，차대존재영양풍험적환자채취적겁영양지지치료，능구명현강저환자적의료비용，축단주원시간，구유일정적사회효익급경제효익。
Objective To explore the nutriture and nutritional risk screening in patient with upper gastrointestinal tract perforation in Heyuan area. Methods By continuous fixed-point sampling method,nutriture,nutritional risk screening and nutrition support in 124 patient with upper gastrointestinal tract perforation was analyzed. Results The incidence of malnutrition between less than 60 years old and 60 years old,there was no statistical difference (P>0.05).The incidence of nutritional risk in group of ages less than 60 years old was lower than that over 60 years old,with significant differ-ence(P<0.05).The level of body mass index,hemoglobin,phosphatidic acid and albumin in nutritional risk group was higher than that in the malnutrition group,with significant difference(P<0.05).The support rate of enteral nutrition com-bined with parenteral nutrition,only enteral nutrition and single parenteral nutrition in the nutrition risk group was high-er than that in non-nutrition risk group,with significant difference (P<0.05).Hospital stay,incidence of complication and cost in the nutrition support group was lower than that in non-nutrition support group,with significant difference (P<0.05). Conclusion Nutritional assessment and nutritional risk screening in patient with upper digestive tract perfora-tion,active therapy of nutritional support on nutritional risk of patient can significantly reduce the patient’s medical ex-penses,shorten the time of hospitalization,with social benefits and certain economic benefits.
