中国中西医结合外科杂志
中國中西醫結閤外科雜誌
중국중서의결합외과잡지
CHINESE JOURNAL OF SURGERY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2015年
4期
346-350
,共5页
营养评价工具%营养风险%营养不足
營養評價工具%營養風險%營養不足
영양평개공구%영양풍험%영양불족
Nutritional evaluation%nutritional risk%malnutrition
目的：使用NRS2002和SGA、MNA、NRI 4种工具对普外科入院患者进行营养状态调查，比较4种工具的适用性和一致性以及每种工具所得筛查结果和临床结局的关系。方法：采用连续取样方法选取天津医科大学总医院普外科收治的125名患者为研究对象，当患者入院第2 d分别应用NRS2002和SGA、MNA、NRI进行营养筛查和评估，并比较每种工具所得筛查结果和临床结局的关系。结果：入院NRS2002、SGA及MNA适用性91.91%，NRI适用性91.18%，4种方法对患者营养风险的评价具有一致性。将BMI≤18.5或ALB≤30 g/L作为营养不良的一个标准，4种评价工具与该标准的一致性较差。NRS2002、SGA筛查结果和临床结局的关系最为密切。结论：4种营养评价工具均适用于普外科营养不足的筛查。NRS2002、SGA筛查结果和临床结局的关系最为密切。
目的：使用NRS2002和SGA、MNA、NRI 4種工具對普外科入院患者進行營養狀態調查，比較4種工具的適用性和一緻性以及每種工具所得篩查結果和臨床結跼的關繫。方法：採用連續取樣方法選取天津醫科大學總醫院普外科收治的125名患者為研究對象，噹患者入院第2 d分彆應用NRS2002和SGA、MNA、NRI進行營養篩查和評估，併比較每種工具所得篩查結果和臨床結跼的關繫。結果：入院NRS2002、SGA及MNA適用性91.91%，NRI適用性91.18%，4種方法對患者營養風險的評價具有一緻性。將BMI≤18.5或ALB≤30 g/L作為營養不良的一箇標準，4種評價工具與該標準的一緻性較差。NRS2002、SGA篩查結果和臨床結跼的關繫最為密切。結論：4種營養評價工具均適用于普外科營養不足的篩查。NRS2002、SGA篩查結果和臨床結跼的關繫最為密切。
목적：사용NRS2002화SGA、MNA、NRI 4충공구대보외과입원환자진행영양상태조사，비교4충공구적괄용성화일치성이급매충공구소득사사결과화림상결국적관계。방법：채용련속취양방법선취천진의과대학총의원보외과수치적125명환자위연구대상，당환자입원제2 d분별응용NRS2002화SGA、MNA、NRI진행영양사사화평고，병비교매충공구소득사사결과화림상결국적관계。결과：입원NRS2002、SGA급MNA괄용성91.91%，NRI괄용성91.18%，4충방법대환자영양풍험적평개구유일치성。장BMI≤18.5혹ALB≤30 g/L작위영양불량적일개표준，4충평개공구여해표준적일치성교차。NRS2002、SGA사사결과화림상결국적관계최위밀절。결론：4충영양평개공구균괄용우보외과영양불족적사사。NRS2002、SGA사사결과화림상결국적관계최위밀절。
Objective NRS2002, SGA, MNA and NRI are used to screen nutritional risk of general surgery hospitalized patients, then to compare their applicability and consistency and analyze the effect in clinical out?comes of NRS results with respect to each tool. Methods The 125 patients hospitalized in General Hospital of Tianjin Medical University from June to September 2014 were chosen as object of study, to screen and evalu?ate nutritional risk of patients by NRS 2002, SGA, MNA and NRI, respectively, on the second hospital day. Then to compare the consistency of NRS results with respect to the four tools on clinical outcomes. Results The applicabilities of hospital NRS2002, SGA, MNA and NRI were alternatively 91.91%,91.91%,91.91% and 91.18%.The evaluation of patients’NRS corresponding to different four tools was consistent. Let BMI≤18.5 or ALB≤30 g/L be one standard of malnutrition, the consistency of four evaluation tools and the standard was poor. The effects of screening results of NRS2002 and SGA on clinical outcomes were most closely related. Conclusion The four nutritional evaluation tools can be applied to the screening of malnutrition in General Surgery. The effects of screening results of NRS2002 and SGA on clinical outcomes were most closely related.
