老年肝胆外科住院患者动态营养风险调查.docVIP

老年肝胆外科住院患者动态营养风险调查[摘要] 目的 探讨老年肝胆外科住院患者的营养风险、营养不足发生率以及营养支持应用状况。 方法 采用定点连续抽样，对1 172例老年肝胆外科住院患者（≥65岁）入院后第2天早晨和住院2周或出院时采用欧洲营养不良风险排查表（NRS）进行营养不良风险和全面营养状况评估，统计总体营养不良及存在营养不良风险发生率。 结果 NRS 2002的适用率为90.19%。入院时NRS 2002筛查结果显示，患者总的营养风险发生率为39.27%，营养不足的发生率为27.72%；入院2周或出院时NRS 2002的评估结果显示，患者总的营养风险发生率为28.29%，与入院时比较，差异有统计学意义（P 0.05）。 结论 住院患者因疾病及其严重程度不同，营养不良的发生率和特点亦不同，NRS可评估住院患者的营养不良和营养不良风险。 [关键词] 营养风险；营养调查；老年患者；肝胆外科 [中图分类号] R195 [文献标识码] A [文章编号] 1673—9701（2012）26—0009—02 The dynamic nutritional risk survey of hospitalized elderly patients with hepatobiliary surgery CHEN Weiwei Department of Surgery，the Staff—worker Hospital of Hangzhou Steel Group，Hangzhou 310022，China [Abstract] Objective To study application status of hepatobiliary surgery in elderly hospitalized patients nutritional risk and incidence of malnutrition and nutritional support. Methods We used fixed—point continuous sampling，hepatobiliary surgery of 1 172 elderly patients hospitalized patients（≥65 years），after two days admission the morning and discharged from hospital 2 weeks，and malnutrition risk of investigation was used in Europe table （NRS） for risk of malnutrition and comprehensive assessment of nutritional status，to study overall statistical risk of malnutrition and the incidence of malnutrition. Results NRS 2002 was 90.19% applicable. NRS 2002 screening on admission showed that total nutritional risk patients the incidence of 39.27%，the incidence of malnutrition was 27.72%；the hospital 2 weeks or discharge NRS 2002 assessment results，the total nutritional risk patients the incidence of 28.29%，compared with admission，there was statistically significant difference（P 0.05）. Conclusion Hospitalized patients with different diseases and their severity，the incidence of malnutrition and characteristics were also different，NRS could be assessed malnutrition in hospitalized patients and risk of malnutrition. [Key words] Nutrition risk；Nutrition examination survey；Elderly patients；Hepatobiliary surgery