营养筛查和营养支持对消化内科住院患者临床结局的影响

Influence of Clinical Outcomes of the Gastroenterology Physician Hospitalized Patients with Nutrition Screening and Nutrition Support

目的研究以NRS-2002为主要筛查工具的营养筛查和营养支持对消化内科住院患者临床结局的影响。方法采用随机抽样法对我院2011年3月－9月消化内科106例住院患者设为实验组,在入院24h内运用营养风险筛查（NRS-2002）进行评价,依据评定结果予以营养支持。与2010年3月-9月未开展营养筛查的95例患者设为对照组,比较两组营养筛查前后住院患者营养情况、并发症发生率及住院时间。结果两组营养风险率比较无显著性差异（P〉0.05）,营养支持率有显著性差异（P〈0.05）,实验组总并发症发生率、感染性并发症、非感染性并发症发生率显著低于对照组（P〈0.05）,两组总住院时间比较有显著性差异（P〈0.05,P〈0.001）。结论营养筛查前及临床营养支持前的营养支持不足,营养筛查和营养支持能降低住院患者的感染性并发症及非感染性并发症发生率,缩短平均住院日,改善了住院患者的临床结局,提高了患者的满意度。

Objective To discuss the influence of nutrition screening using NRS-2002 as the main screening tool and nutrition support on hospitalized patients clinical outcome. Methods To compare with nutritional screening nutrition, complications and length of hospital stay of gastroenterology physician hospitalized patients who were in our hospital from March to September2013, 106 patients, using nutritional risk screening （NRS--2002）within 24 hours in the hospital and March to September 2012,95 patients. Results There were significant differences in nutrition support （P〈0. 05）. The total complica- tion rate, infectious complication rate was significantly lower after nutrition screening and nutrition support （P （ 0. 05）. There was statistically significant in Non infectious complications and the length of stay（P〈0. 05 ,P〈0. 001）. Conclusion Nutritional screening and nutrition support can reduce the rate of complication of infectious and non infectious of hospitalized patients and improve clinical outcomes and the patients satisfaction.