摘要目的 调查分析普通外科住院患者术前营养不足、营养风险及营养支持状况.方法 采用营养风险筛查2002(NRS 2002)直接查询和阅读病历记录方式,对北京市某三级甲等医院普通外科1个月内所有217例新入院患者进行调查.结果 术前患者营养不足和营养风险发生率分别为7.4%和15.7%,以胃肠道疾病和恶性疾病患者多见.分别有18.8%有营养不足者和14.7%有营养风险者,以及3.0%无营养不足者和2.2%无营养风险者接受了营养支持.肠内和肠外营养应用比例为1∶2.结论 建议在普外科推广NRS 2002,以提高临床营养支持的合理性.

abstractsObjective To evaluate the preoperative undernutrition, nutritional risks, and nutritional support in general surgical wards. Methods The nutritional risks of 217 new in-patients in general surgical wards in a Beijing-based hospital were assessed using nutrition risk screening 2002 ( NRS 2002 ) and the medical records were reviewed. Results The overall prevalence of preoperative undernutrition and nutritional risks was 7.4% and 14.7% respectively, most of which occurred in patients with gastrointestinal diseases and malignant diseases. Nutritional supports were provided to 18.8% of patients with undernutrition, 12.5% of patients with nutritional risks,3.0% of patients without undernutrition, and 2.7% of patients without nutritional risks. The enteral nutrition:The application of nutritional support should be further improved in general surgical wards.