摘要
目的调查呼吸科住院患者营养不足、营养风险及营养支持使用情况。方法采用定点连续抽样,对2010年8月～9月在四川大学华西医院呼吸科住院的395例患者进行营养筛查,并调查其营养支持情况,分析二者间关系。结果 395例患者中,营养不足及营养风险发生率分别为19.0%和47.3%;老年组(≥60岁)营养风险发生率明显高于中青年组(<60岁),分别为57.0%和34.1%(P<0.01);存在营养风险的患者的平均住院日较无营养风险者明显延长,分别为(10.0±5.0)d和(13.4±10.0)d(P<0.01);因重症肺炎、慢性阻塞性肺疾病急性加重、肺间质纤维化伴感染入院的患者发生营养风险的可能性较大,其中重症肺炎为最大;有营养风险的患者,营养支持率仅为29.4%,无营养风险的患者,营养支持率为7.7%。结论呼吸科住院患者营养不足及营养风险发生率均较高,医务人员对营养支持的使用不尽充分合理。营养风险筛查表2002(NRS2002)能较有效的对患者进行营养风险筛查,结合临床,指导营养支持的合理使用。
Objective To investigate the prevalence of undernutrition,nutritional risk and nutritional support in respiratory department.Methods395 adult patients were consecutively enrolled from august to september 2010 in respiratory department of West China Hospital,Sichuan University.Nutritional screening was conducted and nutritional support was evaluated,also,the relationship between the nutritional risk and nutritional support was analyzed.ResultsAmong all 395 patients,malnutrition rate and nutritional risk were 19.0% and 47.3%.The nutritional risk of older group was signifinantly higher than that of the younger one（57.0 % and 34.1%,P〈0.01）.The average length of stay of patients with nutritional risk was nuch longer than those without（10.0±5.0 and 13.4±10.0,P〈0.01）;patients hospitalized with severe pneumonia,acute exacerbation of chronic obstructive pulmonary disease and pulmonary fibrosis are more likely to have nutritional risk,among them,severe pneumonia is most likely.Nutritional support rate among the patients with nutritional risk and without were 29.4% and 7.7%.ConclusionA large proportion of inpatients were undernutrition or at nutritional risk in respiratory department.The application of nutritional support is inappropriate.NRS2002 can be used in nutritional assessment in hospitalized patients with respiratory disorder,guiding rational use of nutritional support.
出处
《四川医学》
CAS
2011年第6期945-947,共3页
Sichuan Medical Journal
关键词
营养不良
营养风险
营养风险筛查2002
营养支持
undernutrition
nutritional risk
nutritional risk screening 2002
nutritional support
