NRS2002营养评估对骨科住院患者临床结局的影响

The impact of NRS2002 nutritional assessment on clinical outcomes of orthopedic inpatients

目的探究营养风险筛查2002(NRS2002)营养评估对骨科住院患者临床结局的影响。方法90例骨科住院患者,按照随机数字表法将其分为研究组与对照组,每组45例。对照组患者接受常规骨科住院干预,研究组患者在对照组基础上加用NRS2002营养评估干预。比较两组患者住院指标(住院时间、住院费用、床上活动时间、下床活动时间)、入院时及术后3 d营养指标(血红蛋白、白蛋白以及前白蛋白)、围术期并发症发生情况(伤口感染、呼吸道感染、深静脉血栓)。结果研究组患者住院时间(11.23±2.12)d、床上活动时间(15.01±3.65)h、下床活动时间(35.01±3.65)h均短于对照组的(13.62±1.98)d、(16.98±3.08)h、(43.26±5.18)h,住院费用(4.02±1.35)万元少于对照组的(5.69±1.87)万元,差异具有统计学意义(P<0.05)。术后3 d,研究组患者血红蛋白(115.01±16.98)g/L、白蛋白(38.66±3.67)g/L以及前白蛋白(223.51±26.55)mg/L均显著高于对照组的(105.63±15.81)g/L、(36.02±2.65)g/L、(185.63±19.89)mg/L,差异具有统计学意义(P<0.05)。研究组患者围术期出现伤口感染1例,呼吸道感染1例;对照组患者围术期出现伤口感染3例,呼吸道感染4例,深静脉血栓1例。研究组围术期并发症发生率4.44%(2/45)显著低于对照组的17.78%(8/45),差异具有统计学意义(P<0.05)。结论对骨科住院患者开展NRS2002营养评估干预,有助于加速患者围术期康复进程,改善患者营养状态,还可以降低并发症发生率,具有一定的推广运用价值。

Objective To explore the impact of nutritional risk screening 2002(NRS2002)nutritional assessment on clinical outcomes of orthopedic inpatients.Methods A total of 90 orthopedic inpatients were divided into a study group and a control group according to random number table method,with 45 cases in each group.Patients in the control group received routine intervention during hospitalization,while patients in the study group were added with the intervention guided by NRS2002 nutrition assessment on the basis of the control group.Patients in both groups were compared in terms of hospitalization indicators(hospitalization time,hospitalization expenses,bed activity time,and off-bed activity time),nutritional indicators(hemoglobin,albumin,and prealbumin)on admission and at 3 d after surgery,perioperative complications(incision infection,respiratory infection,deep vein thrombosis).Results In the study group,the hospitalization time was(11.23±2.12)d,the bed activity time was(15.01±3.65)h and the off-bed activity time was(35.01±3.65)h,which were shorter than(13.62±1.98)d,(16.98±3.08)h and(43.26±5.18)h in the control group;the hospitalization expenses of(4.02±1.35)ten thousand yuan was less than(5.69±1.87)ten thousand yuan in the control group;the difference was statistically significant(P<0.05).At 3 d after surgery,the study group had hemoglobin of(115.01±16.98)g/L,albumin of(38.66±3.67)g/L and prealbumin of(223.51±26.55)mg/L,which were significantly higher than(105.63±15.81)g/L,(36.02±2.65)g/L and(185.63±19.89)mg/L in the control group,and the difference was statistically significant(P<0.05).In the study group,1 case of wound infection and 1 case of respiratory tract infection occurred perioperatively;in the control group,3 cases of wound infection,4 cases of respiratory tract infection and 1 case of deep vein thrombosis occurred perioperatively.The perioperative complication rate of 4.44%(2/45)in the study group was significantly lower than 17.78%(8/45)in the control group,and the difference was statistically significant(P<0.05).Conclusion Intervention based on NRS2002 nutritional assessment for orthopedic inpatients can accelerate the perioperative recovery process,improve patient nutritional status,and reduce the incidence of various complications,which has certain promotion and application value.