两种评定营养不良方法的对比研究

The comparison of two methods to evaluate malnutrition

目的运用两种评定营养不良方法对比胃癌、结肠癌、直肠癌、肠梗阻患者的营养不良发生率。方法对住院患者进行定点连续采样,分别采用BMI<18.5kg/m2及NRS2002营养风险筛查工具中营养受损部分评分大于或等于3分评定营养不良,进而对比其发生率。结果获得符合标准226例患者。使用BMI评定营养不良发生率(11.06%)低于使用NRS2002营养风险筛查工具中营养受损部分评定营养不良发生率(14.60%)。调查科室的营养支持情况结果发现合乎规范的营养支持占7.96%,不规范的营养支持占17.26%,极不规范营养支持占5.31%。结论使用NRS2002营养受损部分判断营养不良的方法值得推广。

Objective To investigate the incidence of malnutrition in patients with stomach cancer,intestinal obstruction,colon and rectal cancer by using two assessments. Methods Inpatients were consecutively recorded,to diagnose malnutrition,one way was using BMI〈18.5 kg/m2,another one was three variablesweight loss of NRS2002,and then compare its incidence. Results A total of 226 patients Were recruited. Malnutrition rate which was 11.06% by using BMI.was lower than that using NRS2002 （14.60%）. Patients who accepted adequate nutrition support was 7.96%, no-adequate nutrition support was 17.26%,and extremely no-adequate nutrition support accounted for 5.31%. Conclusion Adopting NRS2002 to diagnose malnutrition is worthy to promote.