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应用NRS 2002对梗阻性黄疸病人术前营养风险筛查 被引量:10

Preoperative nutritional risks screening of obstructive jaundice patient by applying NRS2002
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摘要 [目的]应用NRS2002标准对梗阻性黄疸病人开展术前营养筛查,以了解病人的营养状况,为合理进行术前营养支持提供依据。[方法]选择收治入院准备择期手术的梗阻性黄疸病人57例,用2006年中国肠外肠内营养分会颁布的NRS2002评判标准对病人进行营养风险筛查。[结果]57例梗阻性黄疸病人中评分≥3分的病人有36例(63.16%)存在营养风险;体重下降的病人45例(78.94%),BMI<18.5kg/m2即营养不良的病人2例,占3.5%。食欲下降的病人共51例(89.5%),下降超过50%的病人26例(45.6%)。[结论]梗阻性黄疸病人术前具有较高的营养不良风险,适宜采用NRS2002进行营养筛查,并制订出合理的营养支持计划,以减少医疗资源的浪费和感染并发症的发生率。 Objective:To apply the NRS 2002 standard to screen the nutritional status of preoperative obstructive jaundice patients,so as to know nutritional state of patients and to provide some references for reasonable preoperative nutritional support.Methods:A total of 57 preoperative cases of obstructive jaundice admitted in hospital prepared to accept selective operation were selected.And nutritional risks screening for them were carried out by adopting NRS 2002 issued by CESPN in 2006.Results:The scores of 36 patients (63.16%)were ≥ 3,they had nutritional risks.And 45 cases (78.94%) had body weight loss.Only 2 cases(3.5%) were BMI 18.5,that was malnutrition.Totally 89.5% (51 cases) of patients appeared appetite decrease,and 45.6%(26 cases) of patients’ appetite decreased over 50%.Conclusion:Obstructive jaundice patients have higher malnutrition risks before operation.And NRS 2002 is suitable for them to screen their nutritional state.It is helpful to work out a rational support plan for obstructive jaundice patients to decrease the waste of medical resources and the incidence of infection complications.
出处 《护理研究(下旬版)》 2010年第5期1336-1338,共3页 Chinese Nursing Researsh
关键词 营养不良风险筛查 梗阻性黄疸 营养不良 malnutrition risks screening obstructive jaundice malnutrition
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