摘要
目的调查肿瘤内科住院患者营养风险发生率及营养支持应用情况。方法选择在肿瘤内科住院600例患者为研究对象,于患者入院次日早晨进行营养风险筛查2002(NRS2002),并调查患者2周内(或至出院时)的营养支持状况。结果 NRS2002的完全适用率为81.5%。营养风险的发生率为35.5%。213例有营养风险的患者中,有152例(71.4%)接受了营养支持;在无营养风险的387例患者中,有37例(9.6%)接受了营养支持。所有患者肠外和肠内营养的应用比例为11.6∶1。使用肠外营养(PN)的患者中,只有52例(29.9%)患者采用混合输注。结论 NRS2002适用于肿瘤内科住院患者的营养筛查。肿瘤内科有一定量的住院患者存在营养风险,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 and application of nutritional support in hospitalized patients with Cancer. Methods Totally 600 hospitalized patients oncology department were enrolled in this study. Nutritional risk screening 2002（NRS2002） was performed on the next morning after admission and nutritional support evaluation was performed on the 14th day of admission or on the discharge day. Results NRS2002 scoring was performed among 81.5% patients. The prevalence of nutritional risk was 35.5%. 152 patients （71.4%） with NRS2002≥3 received nutrition support,and 37 patients （9.6%） with NRS2002 3 received nutritional support. The average PN ：EN ratio was 11.6：1. 52 patient（s29.9%）with parenteral nutrition received TNA （total nutrient admixture）. Conclusions NRS2002 is a feasible nutritional risk screening tool for inpatients with carcinoma. A large proportion of patients have nutritional risk in the oncology department. The application of nutritional support currently is somehow inappropriate. Evidence-based guidelines are required to improve this situation.
出处
《现代实用医学》
2010年第6期617-619,共3页
Modern Practical Medicine
