欧洲营养不良风险筛查方法在基层医院住院病人的临床可行性研究

Evaluation of European nutritionl risk screening method in hospitalized patients of primary hospital

目的:评估欧洲营养不良风险筛查方法(NRS2002)在基层医院住院病人中进行营养不良风险筛查的可行性。方法:共调查799例住院病人,对符合NRS2002评定标准的病人于入院当天进行评分,NRS评分≥3分判定为有营养不良风险;对不符合NRS2002评定标准的病人,于入院第2天检测血清ALB,ALB<35 g/L者,判定为营养不良。结果:697例住院病人行NRS评分,体质指数<18.5者159例(22.8%),NRS评分≥3分者240例(34.4%);因不符合NRS评定标准未行NRS评分者102例,不符合NRS评定标准的原因包括不能站立者66例(64.7%),伴大量胸、腹水者17例(16.7%),不能站立合并胸、腹水者11例(10.8%),神志不清者8例(7.8%),均行ALB检测,ALB<35 g/L者31例(30.4%)。结论:NRS2002应用于基层医院住院病人营养不良风险的筛查是可行的,对于不符合NRS评定标准的病人,也可用血清ALB来评定营养不良风险。

Objective： To evaluate feasibility of using European Nutritional Risk Screening 2002 （NRS2002 for nutritional status assessment in primary hospital. Methods： 799 patients were enrolled in this study. 697 patients who were according NRS request were assessed using NRS method in hospitalization day. The patient whose NRS scores were higher than 3 were justified under nutritional risk. 102 patients who were not according NRS request were assessed by exeamining the serum albumin （ALB） in the next day. The patients whose serum ALB was lower than 35 g/L were justified malnutrition. Results：There were 697 patients could be evaluated by NRS method. Body Mass Index（BMI） was lower than 18.5 in 159（22.8% ） cases and NRS scores were ≥3 in 240 cases（34.4 % ） among 697 cases. Serum albumin was lower than 35 g/L in 31 （30.4%） cases among 102 cases who could not be evaluated by NRS method because of incapable of standing up （66/102,64.7%） and ascites or hydrothorax （17/102,16.7% ） and concomitance of above-mentioned causes（ 11/102,10.8% ） and coma（8/102,7.8% ）.Conclusion： Assessment of nutritional status of hospitalized patients in primary hospital using NRS2002 method is feasible. The patients who could not be evaluated by NRS 2002 method can be assessed by as- saying serum ALB.