摘要
目的调查内分泌科住院患者营养风险、营养不良（不足）、超重和肥胖发生率及营养支持应用情况。方法采用定点连续抽样，选择2008年9月至12月在北京协和医院内分泌科住院的患者进行营养风险筛查2002（NRS2002），于患者人院次日早晨实施，并调查患者2周内（或至出院时）的营养支持状况，分析营养风险和营养支持之间的关系。NRS2002≥3分为有营养风险，体重指数（BMI）〈18．5kg／m。并结合患者临床情况判定为营养不足。结果共有152例患者入选并全部完成NRS2002筛查，NRS2002的适用率为100％；营养不足和营养风险的发生率分别为7．9％和27．6％。老年患者（≥60岁）营养风险发生率为36．8％，明显高于中青年患者（18—59岁）的20．2％（P=0．023）。在42例有营养风险的患者中，有9例（21．4％）接受了营养支持；在无营养风险的110例患者中，有12例（10．9％）接受了营养支持。所有患者肠外和肠内营养的应用比例为1：3．2。结论NRS2002适用于内分泌科住院患者的营养筛查。内分泌科有一定量的住院患者存在营养风险或营养不足，营养支持应用仍存在某些不合理性，应推广和应用基于证据的营养支持指南以改善此状况。
Objective To investigate the prevalence of nutritional risk, malnutrition （undernutrition）, overweight/obesity, and application of nutritional support in hospitalized patients with endocrine disorders. Methods Adult patients in Department of Endocrine of Peking Union Medical College Hospital （PUMCH） from September to December 2008 were consecutively enrolled. Nutrional Risk Screening 2002 （ NRS2002 ） was per- formed on the next morning after admission and nutritional support evaluation was performed on the 14m day of ad- mission or on the discharge day. The relationship between nutritional risk and nutritional support was analyzed. Nu- tritional risk was defined as NRS2002 score ≥3, and body mass index （BMI） 〈 18.5 kg/m2 defined as undernut- rition. Results A total of 152 patients were enrolled, and NRS2002 scoring was performed in all patients. The prevalence of undernutrition was 7.9% and the nutritional risk was 27. 6%. The prevalence of nutritional risk in the elderly inpatients （ ≥ 60 years old） was significantly higher than in younger patients （18-59 years old） （36. 8% vs 20. 2%, P =0. 023）. Nine patients （21.4%） with NRS2002≥3 received nutrition support, and 12 patients （ 10.9% ） with NRS2002 〈 3 received nutritional support. The average PN; EN ratio was 1：3.2. Conclu- sions NRS2002 is a feasible nutritional risk screening tool for inpatients with endocrine disorders. A large propor- tion of inpatients were at nutritional risk or undernutrition in the Department of Endocrine of PUMCH. The application of nutritional support currently is somehow inappropriate. Evidence-based guidelines are required to improve this situation.
出处
《中华临床营养杂志》
CAS
2009年第2期71-74,共4页
Chinese Journal of Clinical Nutrition
关键词
营养风险
营养不良
营养风险筛查2002
体重指数
营养支持
Nutritional risk
Undemutrition
Nutritional Risk Screening 2002
Body mass index
Nutrition support
