消化内科住院患者营养风险筛查分析
Nutritional risk screening in patients at the gastroenterology department
目的:研究消化内科住院患者营养风险的发生率、营养支持率及营养风险筛查与营养指标的相关性。方法采用欧洲营养风险筛查方法( NRS2002)对消化内科139例入院患者进行营养风险筛查,分析筛查结果与客观营养指标之间的关系。结果入院时营养风险( NRS≥3分)发生率为48%;应用营养支持率为37.5%。营养风险组前白蛋白(142.56±68.23) mg/L低于无风险组(208.45±59.65)mg/L,差异有统计学意义(t=23.95,P=0.023);营养风险筛查结果与营养指标中的血清前白蛋白、白蛋白、血红蛋白呈负相关( r=-0.882,-0.713,-0.689;P<0.05)。结论对新入院患者进行筛查,有利于了解患者现有的营养状况,操作简便,且NRS2002与血清前白蛋白具有较好的一致性,用NRS2002来预测消化内科患者营养风险值得进一步推广。
更多Objective To study the incidence of risk of malnutrition , nutritional support rate , and the relationship between nutrition risk scores and nutrition indicators .Methods A total of 139 patients were investigated by nutrition risk screening 2002 ( NRS2002 ) .The relationships between NRS 2002 scores and nutrition indicators were analyzed .Results The incidence of risk of malnutrition ( NRS≥3 ) and nutritional support rate were 48%.37.5%patients had nutritional support .The pre-albumin was (142.56 ±68.23) mg/L in nutritional risk group, that was less than the risk-free group with (208.45 ±59.65)mg/L, the difference was statistically significant (t=23.95,P<0.05).The results of nutritional risk assessment and the pre-albumin, albumin, hemoglobin was negatively correlated (r=-0.882, -0.713,-0.689, respectively;P<0.05). Conclusions Screening for new patients is helpful to learn the nutritional status of the patients .The method is easy to operate.NRS2002 has many advantages and should be widely used to predict the nutrition risks of digestive patients .
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