摘要
目的调查分析普通外科住院患者术前营养不足、营养风险及营养支持状况。方法采用营养风险筛查2002(NRS2002)直接查询和阅读病历记录方式,对北京市某三级甲等医院普通外科1个月内所有217例新入院患者进行调查。结果术前患者营养不足和营养风险发生率分别为7.4%和15.7%,以胃肠道疾病和恶性疾病患者多见。分别有18.8%有营养不足者和14.7%有营养风险者,以及3.0%无营养不足者和2.2%无营养风险者接受了营养支持。肠内和肠外营养应用比例为1:2。结论建议在普外科推广NRS2002,以提高临床营养支持的合理性。
Objective To evaluate the preoperative undernutrition, nutritional risks, and nutritional support in general surgical wards. Methods The nutritional risks of 217 new in-patients in general surgical wards in a Beijing-based hospital were assessed using nutrition risk screening 2002 ( NRS 2002) and the medical records were reviewed. Results The overall prevalence of preoperative undemutrition and nutritional risks was 7.4% and 14. 7% respectively, most of which occurred in patients with gastrointestinal diseases and malignant diseases. Nutritional supports were provided to 18.8% of patients with undemutrition, 12.5% of patients with nutritional risks, 3.0% of patients without undernutrition, and 2.7% of patients without nutritional risks. The enteral nutrition: parenteral nutrition ratio was 1:2. Conclusions NRS 2002 is a simple and useful tool for nutrition risk evaluation. The application of nutritional support should be further improved in general surgical wards.
出处
《中华临床营养杂志》
CAS
2010年第1期1-4,共4页
Chinese Journal of Clinical Nutrition
关键词
营养不足
营养风险筛查
营养支持
普通外科
Underoutrition
Nutritional risk screening
Nutritional support
General surgical ward