中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
1期
23-26
,共4页
祁羽鹏%马文静%何伟坤%刘春宏%黎旭霞%夏羽菡%邹嘉宾
祁羽鵬%馬文靜%何偉坤%劉春宏%黎旭霞%夏羽菡%鄒嘉賓
기우붕%마문정%하위곤%류춘굉%려욱하%하우함%추가빈
NRS2002%营养风险%营养不良%营养支持
NRS2002%營養風險%營養不良%營養支持
NRS2002%영양풍험%영양불량%영양지지
NRS2002%Nutritional risk%Malnutrition%Nutritional support
目的：研究胃肠外科新入院患者术前营养不良和营养风险发生率以及临床营养支持治疗的应用状况，为合理实施临床营养提供参考。方法采用NRS2002评分对胃肠外科新入院患者于24h内进行营养风险筛查，并记录其术前、术后营养支持状况。结果2013年11月~2014年2月，在宁夏医科大学总医院胃肠外科使用NRS2002，定点连续调查了277例新入院患者，268例完成了NRS评分，应答率为96.75%。在268例患者中存在营养不足的有44例（16.42%）；有营养风险患者105例（39.18%）；有营养风险但无营养支持的患者有36例（25.71%）；年龄≥65岁患者中有营养风险39例（50.65%），年龄＜65岁患者有营养风险66例（34.55%），不同年龄之间差异有统计学意义（x2=5.965，P=0.015）；男性中有营养风险的有66例（37.29%），女性中有39例（42.86%），不同性别之间差异无统计学意义（x2=0.782，P=0.376）。结论该院胃肠外科住院患者的营养风险和营养不良发生率高，并且在该科住院患者中存在不合理营养支持现象（PN明显大于EN）。在以后的工作中，我们应该大力推广NRS2002评估表的应用，加强EN知识技能的更新。
目的：研究胃腸外科新入院患者術前營養不良和營養風險髮生率以及臨床營養支持治療的應用狀況，為閤理實施臨床營養提供參攷。方法採用NRS2002評分對胃腸外科新入院患者于24h內進行營養風險篩查，併記錄其術前、術後營養支持狀況。結果2013年11月~2014年2月，在寧夏醫科大學總醫院胃腸外科使用NRS2002，定點連續調查瞭277例新入院患者，268例完成瞭NRS評分，應答率為96.75%。在268例患者中存在營養不足的有44例（16.42%）；有營養風險患者105例（39.18%）；有營養風險但無營養支持的患者有36例（25.71%）；年齡≥65歲患者中有營養風險39例（50.65%），年齡＜65歲患者有營養風險66例（34.55%），不同年齡之間差異有統計學意義（x2=5.965，P=0.015）；男性中有營養風險的有66例（37.29%），女性中有39例（42.86%），不同性彆之間差異無統計學意義（x2=0.782，P=0.376）。結論該院胃腸外科住院患者的營養風險和營養不良髮生率高，併且在該科住院患者中存在不閤理營養支持現象（PN明顯大于EN）。在以後的工作中，我們應該大力推廣NRS2002評估錶的應用，加彊EN知識技能的更新。
목적：연구위장외과신입원환자술전영양불량화영양풍험발생솔이급림상영양지지치료적응용상황，위합리실시림상영양제공삼고。방법채용NRS2002평분대위장외과신입원환자우24h내진행영양풍험사사，병기록기술전、술후영양지지상황。결과2013년11월~2014년2월，재저하의과대학총의원위장외과사용NRS2002，정점련속조사료277례신입원환자，268례완성료NRS평분，응답솔위96.75%。재268례환자중존재영양불족적유44례（16.42%）；유영양풍험환자105례（39.18%）；유영양풍험단무영양지지적환자유36례（25.71%）；년령≥65세환자중유영양풍험39례（50.65%），년령＜65세환자유영양풍험66례（34.55%），불동년령지간차이유통계학의의（x2=5.965，P=0.015）；남성중유영양풍험적유66례（37.29%），녀성중유39례（42.86%），불동성별지간차이무통계학의의（x2=0.782，P=0.376）。결론해원위장외과주원환자적영양풍험화영양불량발생솔고，병차재해과주원환자중존재불합리영양지지현상（PN명현대우EN）。재이후적공작중，아문응해대력추엄NRS2002평고표적응용，가강EN지식기능적경신。
Objective To study the application status of the malnutrition, the incidence of nutritional risk, and the clinical nutrition support of inpatients preoperative in department of gastrointestinal surgery of hospital, in order to reference for reasonable implementation of clinical nutrition. Methods To screen the nutritional risk by NRS2002 score and to record the status of nutritional support before and after operation of inpatients preoperative in department of gastrointestinal surgery of hospital in 24 hours. Results Of the 277 inpatients who were targeted continuously investigated by NRS2002 in department of gastrointestinal surgery of General Hospital of Ningxia Medical University from November 2013 to February 2014, the response rate was 96.75%with 268 cases accomplished by NRS score. Of the 268 patients, there were 44 cases(16.42%) with athrepsy, 105 cases(39.18%) with nutritional risk, and 36 cases(25.71%) with nutritional risk but without nutritional support. There were 39 patients (50.65%) of 65 years and older with nutritional risk and 66 patients (34.55%) of under age of 65 with nutritional risk, the differences among different age were statically significant(x2=5.965, P=0.015). There were 66 cases(37.29%) with nutritional risk in male patients and 39 cases(42.86%) with nutritional risk in female patients, the differences among different sex were no statically significant(x2=0.782, P=0.376). Conclusion The nutritional risk and the incidence of malnutrition of inpatients in department of gastrointestinal surgery was higher, and the unreasonable nutritional support was higher(PN was obviously higher than EN). NRS2002 evaluation scale should be vigorously promoted and applied, and the renewal of knowledge skill in EN should be strengthened.
