欧洲营养风险筛查方法在消化内科住院病人的应用

Application of nutritional risk screening in inpatients of digestive department

目的:调查李惠利医院消化内科住院病人营养风险、营养不良和营养支持应用情况。方法:应用欧洲营养风险筛查(NRS2002)方法,采用定点连续抽样,对消化内科205例住院病人进行营养风险筛查,统计营养不良、营养风险发生率和营养支持率。结果:消化内科病人入院时营养不良的发生率为20%。营养风险发生率为32.7%。入院2周(或2周内出院时)营养支持率为8.7%。结论:NRS2002应用于消化内科住院病人是可行的。消化内科住院病人的营养不良率和营养风险发生率较高。

Objective： To investigate the prevalence of nutritional risk,malnutrition and application of nutritional support in department of digestive trad in our hospital in Ningbo.Methods： The information of 205 patients were collected in our hospital.Nutrition status was assessed according to Nutrition Risk Screening（NRS） published by ESPEN in 2002.Results： A total of 205 patients were enrolled,and 189 patients（92.2%）underwent NRS 2002.Prevalence of malnutrition was 20.0% and nutritional risk was 32.7%.Totally 18 patients（8.8%） receiving nutritional support had a NRS2002≥3.The PN∶EN ratio was 2.6 ∶1. Conclusion： A large proportion of inpatients were at nutritional risk or malnutrition in our hospital.The application of PN and EN is inappropriate in inpatients.Evidence-based guidelines are required to improve this situation.