您的位置：山东大学 -> 科技期刊社 -> 《山东大学学报（医学版）》

山东大学学报（医学版） ›› 2014, Vol. 52 ›› Issue (12): 99-102.doi: 10.6040/j.issn.1671-7554.0.2014.409

• 临床医学 • 上一篇    下一篇

住院患者营养风险筛查和营养治疗效果评价

孟妍, 张洁, 袁媛, 张吉甜, 陈立勇   

  1. 山东大学附属省立医院营养科, 山东 济南 250021
  • 收稿日期:2014-06-18 修回日期:2014-11-06 发布日期:2014-12-10
  • 通讯作者: 陈立勇。E-mail:chenle73@sina.com E-mail:chenle73@sina.com

Nutritional risk screening of hospitalized patients and effect evaluation of nutrition therapy

MENG Yan, ZHANG Jie, YUAN Yuan, ZHANG Jitian, CHEN Liyong   

  1. Department of Nutrition, Shandong Provincial Hospital Affilicated to Shandong University, Jinan 250021, Shandong, China
  • Received:2014-06-18 Revised:2014-11-06 Published:2014-12-10

PDF (PC)

293

摘要： 目的 了解住院患者的营养状况,评估肠内营养治疗效果。方法 运用营养风险筛查工具Nutrition Risk Screening 2002(NRS2002)对151例营养科接收的住院患者进行营养风险筛查,对处于营养风险的患者,测量其治疗前后胃肠道症状及前白蛋白、总蛋白、白蛋白、球蛋白、视黄醇结合蛋白等指标。结果 老年患者的营养风险发生率(96.5%)显著高于中青年患者(80.3%)(P=0.001);治疗后患者胃肠道症状较治疗前改善明显(P<0.001);治疗后患者前白蛋白、总蛋白、白蛋白、视黄醇结合蛋白指标均较治疗前有所提升(P均<0.01);治疗后研究对象营养风险发生率(80.8%)较治疗前(89.4%)有所下降(P=0.036)。结论 NRS2002能方便、快捷地反映住院患者的营养风险情况;营养治疗可一定程度上降低营养风险发生率,改善患者的营养状况。

关键词: 营养风险筛查, 营养治疗, 效果

Abstract: Objective To understand the nutritional status of hospitalized patients and to assess the treatment effect of hospitalized patients with enteral nutrition support. Methods The nutritional status of 151 hospitalized patients were evaluated by Nutrition Risk Screening 2002 (NRS2002). The indexes before and after treatment such as gastrointestinal symptoms, prealbumin, total protein, albumin, globulin and retinol binding protein for patients of nutritional risk were tested. Results The incidence of nutritional risk of elderly patients (96.5%) was significantly higher than that of young and middled-aged patients (80.3%)(P=0.001). The gastrointestinal symptoms of patients improved significantly after treatment(P<0.001). The levels of prealbumin, total protein, albumin, and retinol binding protein were improved after treatment (all P<0.01). The level of globulin was improved after treatment but the difference was statistically nonsignificant (P>0.05). The difference of nutritional risk rate of research objects before and after treatment (89.4% vs 80.8%) was statistically significant (P=0.036). Conclusion NRS2002 can reflect the nutritional risk status of hospitalized patients conveniently and quickly. Nutritional therapy can reduce the incidence of nutritional risk to some extent and improve the nutritional status of patients.

Key words: Nutrition therapy, Effect, Nutritional risk screening

中图分类号: 

  • R151
[1] Saletti A, Johansson L, Yifter-Lindgren E, et al. Nutritional status and a 3-year follow-up in elderly receiving support at home[J]. Gerontology, 2005, 51(3):192-198.
[2] Lucchin L, D'Amicis A, Gentile M G, et al. A nationally representative survey of hospital malnutrition: the Italian PIMAI (Project: Iatrogenic Malnutrition in Italy) study[J]. Mediterr J Nutr Metab, 2009, 2(3):171-179.
[3] Jie B, Jiang Z M, Nolan M T, et al. Impact of nutritional support on clinical outcome in patients at nutritional risk: a multicenter, prospective cohort study in Baltimore and Beijing teaching hospitals[J]. Nutrition, 2010, 26(11-12):1088-1093.
[4] Jie B, Jiang Z M, Nolan M T, et al. Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk[J]. Nutrition, 2012, 28(10):1022-1027.
[5] Kondrup J, Rasmussen H H, Hamberg O, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials[J]. Clin Nutr, 2003, 22(3):321-336.
[6] 伍晓汀,陈博.临床营养支持策略的变迁[J].中国实用外科杂志, 2011, 31(1):25-28. WU Xiaoting, CHEN Bo. Changes of strategy for clinical nutriional support[J]. Chinese Journal of Practical Surgery, 2011, 31(1):25-28.
[7] Röhm K D, Schollhorn T, Boldt J, et al. Nutrition support and treatment of motility disorders in critically ill patients: results of a survey on German intensive care units[J]. Eur J Anaesthesiol, 2008, 25(1):58-66.
[8] 陈博,伍晓汀.住院患者营养状况评估[J].中国普外基础与临床杂志, 2011, 18(4):449-454. CHEN Bo, WU Xiaoting. Evaluation of nutritional status in hospitalized patients[J]. Chinese Journal of Bases and Clinics in General Surgery, 2011, 18(4):449-454.
[9] 蒋朱明,于康,朱赛楠,等.我国东、中、西部中小医院住院患者营养不良(不足)、营养风险、超重和肥胖发生率及营养支持应用状况调查(中期小结)[J].中国临床营养杂志, 2008, 16(6):338-340.
[10] 卓紫虹,梁波,陈娇莲,等.消化内科住院患者营养风险筛查及营养支持应用状况[J].齐齐哈尔医学院学报, 2011, 32(2):213-214. ZHUO Zihong, LIANG Bo, CHEN Jiaolian, et al. Nutritional risk screening and application of nutritional support on hospitalized patients in digestive disease department[J]. Journal of Qiqihar University of Medicine, 2011, 32(2):213-214.
[11] 朱明炜.重视老年患者的营养支持[J].中华临床营养杂志, 2012, 18(3):131-133. ZHU Mingwei. Optimize nutrition support among elderly patients[J]. Chinese Journal of Clinical Nutrition, 2012, 18(3):131-133.
[12] 陈慧敏,王艳.NRS2002在消化科老年患者营养风险筛查中的应用与分析[J].护理实践与研究, 2012, 9(4):120-121.
[13] 程一升,赵元琛,王永盛. 早期肠内营养对急性脑卒中伴吞咽困难病人营养状态的影响[J]. 肠外与肠内营养, 2013, 20(4):216-218. CHENG Yisheng, ZHAO Yuanchen, WANG Yongsheng. The effect of the early enteral nutrition on nutritional status in dysphagy patients with from acute stroke[J]. Parenteral & Enteral Nutrition, 2013, 20(4):216-218.
[14] 贺更生,陈国栋,文武,等.肠内营养在腹部外科大手术病人围手术期中的临床应用[J].肠外与肠内营养, 2014, 21(1):8-11. HE Gengsheng, CHEN Guodong, WEN Wu, et al. The clinical effect of perioperative enteral nutritional support in the abdominal surgery patients[J]. Parenteral & Enteral Nutrition, 2014, 21(1):8-11.
[15] 陈小枫,叶纪录,叶军,等.早期肠内营养对重型颅脑损伤患者免疫功能及结局的影响[J].中华临床营养杂志, 2012, 20(2):108-111. CHEN Xiaofeng, YE Jilu, YE Jun, et al. Influence of early enternal nutrition on the immune function and outcome in patients with severe traumatic brain injury[J]. Chinese Journal of Clinical Nutrition, 2012, 20(2):108-111.
[1] 容春莉, 姚文静, 杨倩, 李如意, 曹东平, 刘美霞, 彭应心. 阿托伐他汀钙联合依折麦布治疗冠状动脉粥样硬化并高脂血症的临床疗效[J]. 山东大学学报（医学版）, 2015, 53(11): 46-49.
[2] 洪延青, 姜涛, 董曦文. Cerec3D制作的全瓷贴面在前牙修复中的美学效果[J]. 山东大学学报（医学版）, 2014, 52(7): 94-98.
[3] 康殿民1,陶小润1,李建卓2,廖玫珍1,朱晓艳1,张娜1,郑薇1,于青1. 山东省项目地区女性性工作者艾滋病干预效果评价[J]. 山东大学学报(医学版), 2011, 49(10): 155-.
[4] . 应用PAR指数评价不同矫治技术的治疗效果[J]. 山东大学学报(医学版), 2009, 47(7): 78-80.
[5] 张帅,李建民,丰荣杰,李振峰,刘文广,刘亮,李栋,杨京彦 . 同种异体半关节移植20年以上远期疗效评价[J]. 山东大学学报(医学版), 2008, 46(3): 301-304.
[6] 王志刚,丁　璇,孙　鹏/sup>,王成伟,郝晓光,潘　顺 . 术前脑血管造影在血管内支架成形术治疗缺血性脑血管病中的应用[J]. 山东大学学报(医学版), 2007, 45(2): 146-148.
[7] 张桂琴,薛付忠,王洁贞,成玉,邵奇,徐桂春,李学刚 . 大规模人群接种Ⅱ型肾综合征出血热疫苗的远期流行病学效果研究[J]. 山东大学学报(医学版), 2007, 45(10): 981-984.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
版权所有 © 2018 《山东大学学报(医学版)》编辑部　
地址:山东大学科技期刊社（济南市历城区山大南路27号山东大学中心校区明德楼B座721室） 电话: 0531-88366918 E-mail: xbyxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发