摘要
目的调查贵州省中小医院住院患者营养风险、营养不足、超重和肥胖发生率及营养支持的应用现状。方法采用定点连续抽样，选择2008年2月至2009年3月贵州省4家中小医院普通外科、胸外科、神经内科、消化内科、呼吸内科、。肾内科住院患者进行营养风险筛查2002（NRS2002），于患者入院次日早晨实施，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的关系。NRS2002i〉3分为有营养风险，体重指数〈18．5kg／m。并结合患者临床情况判定为营养不足。结果共1668例患者人选并全部完成NRS2002筛查，营养不足和营养风险的发生率分别为12．2％和30．2％，504例有营养风险的患者中54例（11．7％）接受营养支持，所有营养支持均为肠外营养。结论NRS2002适用于住院患者的营养筛查；营养支持在贵州省中小医院应用不足，应用方式单一，需进一步规范基于循证医学证据的营养支持应用。
Objective To investigate the prevalence of the nutritional risks, undernutrition, overweight, and obesity, and the application of nutritional support in hospitalized patients in middle and small hospitals of Guizhou province. Methods Adult patients in the departments of general surgery, chest surgery, neurology, gas- troenterology, respiratory medicine, and nephrology in four hospitals in Guizhou Province were consecutively en- rolled from Feberary 2008 to March 2009. Nutrional Risk Screening 2002 （ NRS 2002 ） was performed on the next morning after admission and nutritional support was evaluated on the 14 day of admission or on the discharge day. The relationship between nutritional risk and nutritional support was analyzed. Nutritional risk was defined as NRS 2002 score≥3 and under-nutrition was defined as body mass index 〈 18.5 kg/m2. Results A total of 1668 patients were enrolled and underwent, NRS 2002 scoring. The nutritional risk was 30. 2% and the prevalence of malnutrition was 12.2%. Although 54 patients （ 11.7% ） with NRS 2002/〉3 received nutrition support, only parenteral nutrition was applied. Conclusions NRS 2002 is a feasible nutritional risk screening tool for patients in middle and small hospitals. The application of nutrition support is still at a low level, with only parenteral nu- trition is applied. Evidence-based nutrition support guidelines are required to standardize the application of nutrition support.
出处
《中华临床营养杂志》
CAS
2010年第5期279-281,共3页
Chinese Journal of Clinical Nutrition
关键词
营养不足
营养风险筛查2002
超重
肥胖
营养支持
Undernutrition
Nutritional Risk Screening 2002
Overweight
Obesity
Nutrition support
