老年糖尿病患者营养风险筛查及分析

Screening and Analysis of Nutrition Risk in Elderly Diabetes Patients

目的调查内分泌住院患者营养风险状况以及营养支持的应用现状。方法使用营养风险筛查2002(NRS-2002)评分简表,采用加权随机抽样的方法,对我院新入院患者进行营养风险筛查,并调查其营养支持应用情况。结果此次受试住院患者(n=2 821),营养风险患者占比率为32%(n=902)。其中营养风险发生较高的糖尿病肾病。无营养风险患者共1 919例,其中使用营养支持者242人,占12.6%。有营养风险的902例患者中使用营养支持者349人,占38.7%。共有591例患者给予了营养支持,占20.9%。NRS评分≥3分使用营养支持者分别为242人、349人,总营养支持占比率分别为40.9%、59.1%。有营养风险的营养支持率显著高于无营养风险者。NRS评分≥3分未使用营养支持553例,24.8%。结论筛查结果显示住院患者有营养风险的比例较高,但使用营养支持存在一定的不合理情况。

Objective To investigate the nutritional risk status and application status of nutritional support in endocrine inpatients. Methods The nutritional risk screening 2002(NRS-2002) was used to screen the newly admitted patients and investigate their nutritional support application by means of weighted random sampling. Results In this study, 32% of the hospitalized patients(n=2 821) were at nutritional risk(n=902). There is a high nutritional risk of diabetic nephropathy. There were 1 919 patients with no nutritional risk, of whom 242 were nutritional supporters(12.6%). Among the 902 patients at nutritional risk, 349 were using nutritional supporters, accounting for 38.7%. A total of 591 patients were given nutritional support, accounting for 20.9%. NRS score ≥ 3 [check for modifications, the returned version shall prevail.The article has been edited, keep all traces of modification, do not change the non-relevant content. There were 242 and 349 nutrition supporters, and the total nutrition support ratio was 40.9% and 59.1%, respectively. The nutritional support rate of those with nutritional risk was significantly higher than those without nutritional risk. No nutritional support was used in 553 patients(24.8%) with NRS score ≥ 3.Conclusion The screening results show that the proportion of inpatients with nutritional risk is higher, but there is some unreasonable situation in the use of nutritional support.