摘要
目的:比较营养风险筛查2002(NRS 2002)、微型营养评价精法(MNA-SF)和整体营养状况主观评估(PG-SGA)对评估中老年脑卒中病人营养状况的效果。方法:选取116例中老年脑卒中病人,采用NRS 2002、MNA-SF、PG-SGA和体格检查、生化检查结果评价营养状况以及营养不良的诊断和分级。结果:NRS 2002、MNASF、PG-SGA的营养不良评估结果均与体格检查和生化测定结果显著相关(P<0.05)。筛选营养不良病人时,NRS 2002具有较高的灵敏度(95.7%)和特异性(50.0%),约登指数为45.7%,高于MNA-SF和PG-SGA;筛选中、重度营养不良病人时,MNA-SF具有较高的特异性(73.5%),约登指数为55.2%,高于NRS 2002和PG-SGA。结论:对中老年脑卒中的住院病人,NRS 2002可更有效地筛选营养不良,MNA-SF可更有效地精选中、重度营养不良。
Objective: To evaluate the clinical usefulness of the subjective assessments of nutritional status, including Nutrition Risk Screening 2002 ( NRS 2002) , Short Form Mini Nutrition ( MNASF) and Patient-Generated Subjective Global Assessment (PG-SGA). Methods : 116 stroke patients were rolled in our study. The objective factors and NRS 2002, MNA-SF, PG-SGA were evaluated. Results: NRS 2002, MNA-SF, PG-SGA indicated meaningful correlation with the objective malnutrition (P 〈 0. 05 ). When grouped into nutritionally normal and abnormally groups, Youden coefficients (45.7%) of NRS 2002 was higher, the sensitivity and specificity were 95.7% and 50.0%. Re-categorizing into two new groups by combining normal nourished and mildly nourished, Youden coefficients (55.2%) of MNA-SF was higher, and sensitivities and speeifieities were 81.7%0 and 73.5%. Conclusion : It is proposed that the NRS 2002 would be more useful in screening malnourished while MNA-SF would be more useful in screening moderately and severely malnourished.
出处
《肠外与肠内营养》
CAS
北大核心
2014年第6期358-360,共3页
Parenteral & Enteral Nutrition