内科常见疾病住院患者营养风险筛查分析评价

Nutritional risk screening analysis and evaluation of patients hospitalized with common medical diseases

目的应用营养风险筛查表2002(NRS2002)评定内科常见疾病住院患者营养风险发生率,分析评价营养支持应用率。方法对在中国医科大学附属盛京医院内科7种疾病住院患者进行营养风险筛查及营养不足发生率、营养支持情况调查。结果 7种疾病中营养风险和营养不足的总发生率分别为37.8%和19.1%。其中以肝硬化患者的营养风险和营养不足发生率均最高,分别为61.9%和47.4%;全部患者营养支持率为6.7%,其中NRS≥3分患者营养支持率为14.5%,肠外营养与肠内营养支持比为3.6∶1。结论目前内科患者存在相当数量的营养风险或营养不足,营养支持率低,应积极改善现状,以利于减少并发症及提高患者的生存质量。

Objective To evaluate the nutritional risk incidence and nutritional support application rate in patients hospitalized for common internal medical diseases by applying the nutrition risk screening （NRS2002） . Methods Patients hospitalized in Shengjing Hospital Affiliated to China Medical University for seven diseases were screened for nutritional risk, and the incidence of malnutrition and nutritional support status were evaluated. Results The nutritional risk and the overall incidence of malnutrition in the seven diseases were 37.8% and 19.1%, respectively. The nutritional risk and the incidence of malnutrition in patients with liver cirrhosis were highest, 61.9% and 47.4%, respectively. The nutritional support rate in all the patients was 6.7%, and that in patients with NRS ≥ 3 points was 14.5%, and the ra- tio of parenteral nutrition（PN）/enteral nutrition（EN） was 3.6： 1. Conclusion At present, there are a considerable number of medical patients with nutritional risk or malnutrition, while the nutritional support rate is low. The current situation should be actively improved for reducing complications and improving quality of patients＇ life.