住院患者应用NRS2002营养风险筛查的临床分析

Clinical Analysis of Application of NRS 2002 Nutrition Risk Screening on Hospitalized Patients

目的：评估营养风险筛查2002（NRS 2002）在住院患者营养筛查中的可行性和应用价值。方法：选取2013年8月~2014年1月山西省人民医院新住院患者10 190例为研究对象,在入院后当天测定身高、体重,详细记录病史及患者情况,采用NRS 2002对患者进行营养风险评估并进行分析。结果：2013年8月~2014年1月总出院人数为10 190人,营养筛查共8 322人,筛查比率为81.6%,其中3分（及以上）为易发生营养不良风险的患者,共1 059人,阳性筛查比率为12.7%,存在营养风险的患者主要集中于神经内科197人（18.6%）、神经外科123人（11.6%）、消化科116人（10.9%）、中医科104人（9.8%）、普外科96人（9%）、呼吸科94人（8.8%）、重症医学科94人（8.8%）。营养风险较高的科室依次是重症医学科（100%）、神经内科（20%）、消化科（19%）、中医科（19%）、普外科（17%）、呼吸科（17%）、心内科（15%）,均高于平均阳性筛查率12.7%。结论：住院患者普遍适用于NRS 2002,筛查结果显示易发生营养风险的患者具有聚集性,部分科室营养风险发生率较高。

Objective： To assess the feasibility and application value about nutritional risk screening 2002 （NRS2002） on hospitalized patients. Methods ：10190 cases of hospitalized patients as the research object were selected from August 2013 to January 2014 in Shanxi Province peopleg hospital. After admission, with patients＇measured height, weight, detailed history records and the clinical situation, the NRS 2002 nutrition risk assessment was performed and an- alyzed. Results： As for Management raise risk screening in August 2013 -January 2014, the number of total discharge were 10190, nutritional screening 8322, screening rate was 81.6% , among which three points （or more） for patients were at risk of malnutrition, often occurred in 1059 with positive screening rate was 12.7% , mainly concentrated in the neurology patients with nutritional risk in 197 （ 18.6% ）, neurosurgery, 123 （ 11.6% ）, digestive department, 116 （10.9%）, regions, 104 （9. 8% ）, general surgery, 96 （9%）, respiratory, 94 （8. 8% ）, severe medicine, 94 （8.8%）. The Nutrition risky departments, in turn, were intensive medicine department （100%）, nerve internal medi- cine （20%）, digestive department （ 19% ）, regions （ 19% ）, general surgery （ 17% ）, respiratory （ 17% ）, heart medicine （15%）, which were higher than the average positive screening rate （12.7%）. Conclusion： The inpatients are widely applicable for NRS2002. The NRS screening results show that nutritional risk patients prone to clustering and parts of the departments are seized of a greater incidence of nutritional risk.