628例住院患者营养风险筛查和营养支持状况分析

Nutritional Risk Screening and Application of Nutritional Support in Hospitalized Patients

目的了解住院患者营养风险发生率以及营养支持的应用状况。方法利用NRS2002营养筛查工具对628例住院患者进行营养风险筛查,并调查其营养支持应用情况。结果 628例住院患者中完成NRS2002筛查者583例,NRS2002适用率为92.83%。其中存在营养风险患者172例,营养风险发生率为27.4%。在手术科室中营养风险较高的科室有胸外科、血管外科和普外科。在非手术科室中营养风险较高的科室有肾科、老年科和呼吸科。在本调查中营养支持率为18.6%,在有营养风险的患者中营养支持率为42.4%。结论住院患者可采用NRS2002进行营养筛查,筛查结果显示住院患者有营养风险比例较高,但营养支持存在不合理性。

Objective To investigate the prevalence of nutritional risk and the status of nutritional support in hospitalized patients. Methods The nutritional risk of 628 inpatients was measured with NRS2002. The relationship between nutritional risk and nutritional support was analyzed. Results There were 583 patients who could be evaluated by NRS2002 method, NRS2002 applicable rate was 92. 83%. The prevalence of nutritional risk was 27.4%. Among the surgical departments, thoracic, vascular and general surgery had higher prevalence of nutritional risk. Among the medical departments, renal, geriatric and respiratory medicine had higher prevalence of nutri- tional risk. In this study, the rate of nutritional support was 18.6% , including 42.4% of patients with nutritional risk. Conclusion NRS2002 is a good method to evaluate the nutritional risk of patients in hospital. A large proportion of patients were at nutritional risk in hospital. The application of nutritional support was inappropriate.