3567例住院患者营养风险筛查和营养治疗率的研究

A Study of Nutrition Risk Screening and the Rate of Nutritional Therapy in Hospitalized Patients.

目的应用营养风险筛查(NRS2002)评定住院患者营养状况,同时调查住院患者营养治疗率,判断营养治疗的合理性。方法对3567例符合NRS评定条件的新住院患者进行评定,并调查住院2周内营养治疗使用情况。除体质指数采用中国标准外,其余与NRS2002方法一致。营养治疗包括肠外和肠内营养。结果全部对象中NRS总评分≥3分有834例(23.39%),使用营养治疗的有661例(18.53%)。NRS总评分≥3分的患者中使用营养治疗的有256例(30.70%),营养治疗的患者中NRS总评分≥3分占38.73%。结论住院患者可采用NRS2002来判断营养状况,营养治疗应根据患者营养状况来决定,目前临床上营养治疗缺乏规范,许多存在营养不良的患者未得到营养治疗,而很多得到营养治疗的患者并不存在营养不足。成立营养治疗小组(NST)是解决这个问题的一个方法。

Objective Based on the result of evaluating the nutritional state of in - patients using the methodologies of European Nutritional Risk Screening 2002 （ NRS 2002 ）, we judged the rationality of nutritional therapy, and the rate of accepting nutritional therapy in hospital patients. Methods Totally 3567 inpatients consisted with the requirement of NRS2002 were investigated nutritional state and the situation of nutritional therapy within 2 weeks in hospital. Except BMI used as the standard of China, all the other methods were from NRS2002. Nutritional therapy included parenteral and enteral nutrition. Results In all objects, 834 patients＇ number score was ≥ 3 （23.39%）, and 256 got nutritional therapy among them （30.70%）. The number of accepting nutritional therapy was 661 （ 18.53% ）, and only 38.73 % of them had a patient number score ≥ 3. Conclusion NRS2002 is a good method to evaluate the nutritional state of in patients. The nutritional therapy should be on the basis of patient＇ s nutritional state, but there isn＇ t one specification in clinical nutrition - support. Many malnourished patients were ignored, while a lot of nutritional therapies were not suitable. Now one of method to solve this question is to set up Nutrition Support Team（NST）.