营养风险筛查2002对腹壁感染合并2型糖尿病患者营养状况的评估

Analysis of abdominal wall infection combined with type 2 diabetes mellitus by NRS-2002

目的应用营养风险筛查2002(NRS2002)对朝阳医院西区外科住院系统腹壁感染合并2型糖尿病患者进行营养风险分析,评价腹壁感染合并2型糖尿病住院患者营养状况,明确营养风险在年龄上有无差异。方法应用NRS2002对朝阳医院西区135例外科术后腹壁感染合并2型糖尿病住院患者采用连续定点抽样方式收集患者一般信息,在入院2 d内进行营养风险筛查,分析患者住院期间的营养状况,评估营养支持其必要性。其中男性83例,女性52例,年龄41~82(65.0±9.2)岁。NRS2002评分为营养状况评分、疾病严重程度评分、年龄评分(<70岁为0分,≥70岁年龄评分为1分)3项的总和。结果135例住院患者全部完成营养风险筛查NRS2002,其中有营养风险(NRS-2002评分≥3分)49例(36.8%),无营养风险(NRS-2002评分<3分)86例(63.8%)。存在营养风险和无营养风险患者的营养干预治疗率分别为65%和19%。营养风险在年龄上随着年龄增长在70岁以后有差异,年龄≥70岁的患者其营养风险的发生率高于年龄<70岁的患者。结论在腹壁感染合并2型糖尿病住院患者中,存在较高营养不良和营养风险发生率,NRS-2002量表简单、易行,可有效筛查腹壁感染合并2型糖尿病住院患者的营养状况。

Objective To apply nutritional risk screening 2002(NRS2002)to analyze the nutritional risk of abdominal wall infection patients with type 2 diabetes mellitus in the western campus of Beijing Chaoyang hospital and to evaluate the nutritional status of hospitalized patients with abdominal wall infection combined with type 2 diabetes,and to know whether there is any difference in nutritional risk in age.Methods A total of 135 patients with abdominal wall infection and type 2 diabetes mellitus in the western campus of Beijing Chaoyang hospital were collected by NRS2002.The general information was collected by continuous fixed-point sampling.Nutritional risk screening was carried out within 2 days after admission,the nutritional status of patients during hospitalization was analyzed,and the necessity of nutritional support was evaluated.There were 83 males and 52 females,aged from 41 to 82(65.0±9.2)years.NRS2002 score is the sum of nutritional status score,disease severity score and age score(<70 years old is 0 and≥70 years old is 1).Results All 135 inpatients completed nutritional risk screening NRS2002,including 49 cases(36.8%)with nutritional risk(NRS2002 score≥3 points)and 86 cases(63.8%)without nutritional risk(NRS2002 score<3 points).The nutritional intervention rates of patients with nutritional risk and patients without nutritional risk were 65%and 19%,respectively.The nutritional risk varies with age after 70 years old.The incidence of nutritional risk in patients aged≥70 years old was higher than that in patients aged<70 years old.Conclusion There is a high incidence of malnutrition and nutritional risk in hospitalized patients with abdominal wall infection and type 2 diabetes.The NRS2002 scale is simple and easy to perform.It can effectively screen the nutritional status of abdominal wall infection patients with type 2 diabetes.