老年营养风险指数在维持性血液透析病人营养评估中的应用进展

Current knowledge of Geriatric Nutritional Risk Index in nutritional assessment in patients receiving maintenance hemodialysis

目前临床常用的营养评估工具由于包含主观评价指标,不适用于维持性血液透析(MHD)病人的长期营养状态监测,而老年营养风险指数(GNRI)作为一项客观工具,受主观因素影响小,操作简便,尤其适用于MHD病人的营养风险筛查和长期营养状态监测。本文对GNRI在MHD病人营养评估中的应用进行综述,探讨其优势和局限性,为GNRI的临床应用提供参考。

Limited by their nature of containing subjective indicators, many of the nutritional assessment tools in clinical practice are not suitable for long-term nutritional monitoring in patients receiving maintenance hemodialysis（MHD）. Geriatric Nutritional Risk Index（GNRI）, which contains few subjective parameters, can be easily used for nutritional risk screening and long-term nutritional monitoring in patients undergoing MHD. In this paper, the up-to-date studies of the application of GNRI in the nutritional assessment of patients receiving MHD were reviewed, and the pros and cons of GNRI was discussed, which we hope may be helpful in clinical application of GNRI.