摘要
目的调查中国科学技术大学附属第一医院老年科住院病人营养状况与营养支持应用状况,并探究营养干预的效果。方法采用微型营养评定量表(MNA)对2017年12月至2018年12月入住中国科学技术大学附属第一医院老年科的病人进行营养风险筛查以及营养状况评估,调查病人营养支持的状况,并观察接受营养干预的病人营养指标改善情况。结果共纳入212例,经MNA评估:营养良好、营养风险、营养不良比例分别为:42.92%(91/212)、32.55%(69/212)、24.53%(52/212)。总体营养支持率为27.36%(58/212),其中营养良好、营养风险、营养不良的病人营养支持率分别为4.40%(4/91)、27.54%(19/69)、67.31%(35/52),共有69例(占32.55%)病人营养支持不合理。病人接受营养干预后,前白蛋白、白蛋白、总蛋白、MNA评分、利手握力等指标较前明显增加。结论老年科住院病人营养风险、营养不良的发生率较高,营养支持不尽合理,营养支持不足与过度同时存在;合理的营养干预可以改善病人营养状态,规范化营养诊疗流程、正规的营养治疗刻不容缓。
Objective To investigate the nutritional status of elderly inpatients and the application of rational nutritional support in Department of Geriatrics,The First Affiliated Hospital of USTC,and to explore the effect of nutritional intervention.Methods Nutri-tional risk screening and nutritional status assessment were carried out on elderly inpatients hospitalized from December 2017 to De-cember 2018 using mini nutritional assessment scale(MNA),the rationality of nutritional support was analyzed,and the improvement of nutritional indicators of the patients receiving nutritional intervention was observed.Results A total of 212 cases were included.MNA evaluation results showed that the proportions of good nutrition,nutritional risk and malnutrition were 42.92%(91/212),32.55%(69/212)and 24.53%(52/212),respectively.The overall nutritional support rate was 27.36%(58/212),of which the nutritional support rates of patients with good nutrition,nutritional risk and malnutrition were 4.40%(4/91),27.54%(19/69),67.31%(35/52),and 69 pa-tients(32.55%)had unreasonable nutritional support.After nutritional intervention,the indexes of prealbumin,albumin,total protein,MNA score and handgrip strength increased significantly compared with before.Conclusions The incidence of nutritional risk and malnutrition in elderly inpatients is high,and nutritional support is not reasonable enough.There exist simultaneously inadequate and excessive nutritional supports.Rational nutritional intervention can improve the nutritional status of patients,therefore,it is urgent to standardize protocol and carry out regular nutritional treatment.
作者
李毅
王海燕
LI Yi;WANG Haiyan(Department of Geriatrics,The First Affiliated Hospital of USTC,University of Science and Technology of China,Hefei,Anhui 230001,China)
出处
《安徽医药》
CAS
2021年第12期2408-2411,共4页
Anhui Medical and Pharmaceutical Journal
基金
安徽省自然科学基金项目(1608085MH223)。
关键词
营养调查
营养支持
营养不良
老年人
营养风险
Nutrition survey
Nutritional support
Malnutrition
Aged
Nutritional risk
