关键词：
营养风险;营养风险筛查2002;营养支持
摘 要：
目的:调查住院天数≥14d的336例患者的营养风险发生率以及营养支持的应用情况,观察营养支持方式与住院天数之间的关系。方法:患者入院后第2d采用NRS2002进行营养风险筛查(除体重指数采用中国标准外,其余与NRS2002方法一致),并于出院时调查患者住院期间的营养支持应用情况。结果:336例住院天数≥14天的患者中完成NRS2002筛查的患者325例,NRS2002适用率为96.73%。存在营养风险(NRS≥3分)患者117例,营养风险的发生率为36.00%。手术科室营养风险发生率为37.36%,非手术科室营养风险发生率为34.27%,不存在差异(χ2=0.333,P=0.564)。其中70.94%的患者得到了营养支持,手术科室的营养支持率(79.41%)高于非手术科室(59.18%),支持率的差异有统计学意义(χ2=5.653,P=0.017)。营养支持多延后于营养风险筛查后3—4d。手术科室患者入院后7d内营养支持以全肠外营养为主,占62%,14d时肠外营养(全肠外、肠外肠内并用)仍占63%。非手术科室7d内的肠外营养(全肠外、肠外肠内并用)支持率79%,14d时以肠内营养为主,占71%。手术科室的平均住院天数多于非手术科室(F=3.991,P=0.001)。结论:住院天数≥14d患者存在营养风险比例较高,肠外营养的过度使用情况比较严重,应推广和应用基于证据支持的营养指南来改善此情况。
译 名：
Nutritional Risks Screening and Application of Nutritional Support in Inpatients with 14 and More Days
作 者：
SHI Mai,YANG Qing-bin(Nutrition Department of China-Japan Friendship Hospital,Beijing 100029,China)
关键词：
nutrition risk;Nutritional Risk Screening 2002(NRS 2002);nutrition support
摘 要：
Objective To investigate the incidence of nutritional risk and the application of nutritional support among 336 patients in China-Japan Friendship Hospital with 14d or more in hospital.Method NRS2002 was applied in the nutritional risks screening among patients 2 d after living in the hospital(except BMI by Chinese standards),and nutritional support of patients during hospitalization was observed.Result Totally 325 cases completed NRS2002 screening,and the applicable rate was 96.73%.117 Patients had nutritional risk(NRS≥3),and the incidence rate of nutritional risk was 36.00%.The nutritional risk rate of surgical departments was 37.36%,and incidence rate of non-surgical departments nutritional risk was 34.27%,and there was no difference(χ2=0.333,P=0.564).70.94% of the patients received nutritional support.The rate of nutrition support in surgical departments(79.41%) was higher than that in non-surgical departments(59.18%),and the difference was statistically significant(χ2=5.653,P=0.017).Nutrition support delayed 3 or 4 d after nutritional risk screening.Nutritional support in surgical departments was given with total parenteral nutrition,which accounted for 62% within 7 d after admission in hospital,63% within 14 d parenteral nutrition(TPN,PN and EN).Non-surgical departments within 7 d of parenteral nutrition(TPN,PN and EN)accounted for 79%,14 d is given priority with enteral nutrition,accounted for 71%.The average hospital days for surgical departments were more than non-surgical departments(F=3.991,P=0.001).Conclusion Patients whose hospitalization was 14 d and more had high nutritional risk ratio,the overuse of parenteral nutrition was serious,and nutrition guidelines based on the evidence should be promoted and applied to improve the situation.
