基于NRS-2002评估筛查下改良营养支持方案对老年脑梗死患者预后的临床价值

Prognostic and Clinical Value of the Improved Nutritional Support Program under Screening for Elderly Comorbid Patients Based on NRS-2002 Evaluation

目的探讨基于营养风险筛查2002量表(NRS-2002)评估筛查下改良营养支持方案对老年脑梗死患者预后的临床价值。方法选取2020年3月—2022年3月新疆生产建设兵团第二师库尔勒医院收治的86例老年脑梗死患者作为研究对象,依据随机数表法分为常规治疗组、营养支持治疗组,各43例。常规治疗组接受常规治疗,营养支持治疗组接受基于NRS-2002评估筛查下改良营养支持方案治疗。比较两组患者营养状况指标、躯体功能指标、生活质量[日常生活能力评定量表(Barthel指数)、健康指数量表(EQ-5D指数)]及总住院时间。结果两组患者出院当天身体质量指数、上臂围及上臂皮褶厚度均较治疗前高,NRS-2002评分较治疗前低,且营养支持治疗组各指标较常规治疗组变化明显,差异有统计学意义(P<0.05);两组患者出院当天吞咽功能评分均较治疗前低,Barthel指数、EQ-5D指数均较治疗前高,且营养支持治疗组各评分较常规治疗组变化明显,差异有统计学意义(P<0.05);营养支持治疗组总住院时间较常规治疗组短,差异有统计学意义(P<0.05)。结论老年脑梗死病患者采用基于NRS-2002评估筛查下改良营养支持方案治疗具有较高临床价值,利于改善患者营养状况,提升生活质量。

Objective To investigate the prognosis and clinical value of the improved nutritional support program based on the Nutrition Risk Screening 2002 Scale(NRS-2002)assessment and screening for elderly critically ill patients.Methods A total of 60 elderly critically ill patients admitted to the Second Division,Xinjiang Production and Construction Corps,Korla Hospital from March 2020 to March 2022 were selected and divided into a conventional treatment group and a nutritional support treatment group according to the random number table method,30 cases in each group;the conventional treatment group received conventional treatment,the nutritional support treatment group received the improved nutritional support program based on NRS-2002 assessment and screening;The nutritional status indicators,laboratory indicators,physical function indicators,quality of life[Abilities of Daily Living(Barthel index),health index number were compared between the two groups Table(EQ-5D index)],total hospital stay and prognosis.Results The body mass index,upper arm circumference and upper arm skinfold thickness on the day of discharge in the two groups were all higher than those before treatment,and the nutritional support treatment group on the day of discharge was higher than the conventional treatment group,and the differences were statistically significant(P<0.05).Hemoglobin,serum albumin and fasting blood glucose on the day were higher than those before treatment,while serum creatinine and total bilirubin were lower than those before treatment,and the indicators in nutritional support treatment group were signifi cantly changed compared with those in conventional treatment group,and the diff erences were statistically signifi cant(P<0.05);The swallowing function scores of the two groups on the day of discharge were lower than those before treatment,the Barthel index and EQ-5D index were higher than those before treatment,and the scores of the nutritional support treatment group were significantly changed compared with those of the conventional treatment group,and the differences were statistically significant(P<0.05);The total hospital stay in the nutritional support treatment group was shorter than that in the conventional treatment group,and the rates of re-hospitalization and new infections during the follow-up period were lower than those in the conventional treatment group,with statistically signifi cant diff erences(P<0.05).Conclusion The treatment of elderly critically ill patients with improved nutritional support program based on NRS-2002 evaluation and screening has high clinical value,which is benefi cial to improve the nutritional status and prognosis of patients.