摘要
目的：观察营养风险筛查2002（NRS2002）、主观全面评估法（SGA）、微型营养评定精法（MNA-SF）在住院患者营养风险及营养状况评估中的价值。方法：以体质指数和血清白蛋白作为判断营养状况的标准诊断方法,采用NRS2002、SGA、MNA-SF3种工具对住院患者进行营养风险及营养状况评估,探讨其在不同年龄和不同住院科室中的敏感度、特异度和一致性。结果：18～〈60岁年龄组住院患者中,在内科SGA的诊断价值优于NRS2002和MNA-SF,在外科NRS2002的诊断价值优于SGA和MNA-SF;≥60岁年龄组住院患者中,在内科MNA-SF的诊断价值优于NRS2002和SGA,在外科NRS2002的诊断价值优于SGA和MNA-SF。结论：3种工具在不同年龄和病种中的营养风险筛查及营养状况评估的灵敏度及特异度不同,其诊断价值亦不同。
Objective： To compare the application value of nutritional risk screening 2002（ NRS2002）,subjective global assessment（ SGA） and short-mini nutrition assessment（ MNA-SF） in the nutritional risk and nutrional assessment of hospitalized patients. Methods： The body mass index（ BMI） and blood albumin was adopted as standard method of nutritional status assessment. The NRS2002,SGA and MNA-SF were used to evaluate the nutritional risk or nutriotional assessment of hospitalized patients and their sensitity,specificity and consistency in application were discussed in patients of different age and different diseases. Results： Among the hospitalized patients at the age of 18～ 60,the diagnosis value of SGA was better than NRS2002 and MNA-SF in medical ward while the diagnosis value of NRS2002 was better than SGA and MNA-SF in surgical ward. Among the hospitalized patients at the age of ≥60,the diagnosis value of MNA-SF was better than NRS2002 and SGA in medical ward while the diagnosis value of NRS2002 was better than SGA and MNA-SF in surgical ward. Conclusion： The sensitity and specificity of nutritional risk screening and nutritional assessment of three tools is different in different age and different diseases. Therefore,their diagnosis value is also different.
出处
《贵阳医学院学报》
CAS
2015年第5期486-489,共4页
Journal of Guiyang Medical College
基金
贵州省科学技术基金[黔科合J字(2012)2043号]
关键词
住院病人
营养状态
营养评价
体质指数
血清白蛋白
inpatients
nutritional status
nutrition assessment
body mass index
serum albumin
