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目的采用营养风险筛查(NRS2002)、主观全面评定法(SGA)和营养不良通用筛查工具(MUST),评价消化内科住院患者的营养风险,比较三者的有效性,并分析患者营养风险与临床结局的相关性。方法收集2013年9月~2014年5月在我院消化内科的住院患者556例,分别采用NRS2002、SGA、MUST进行营养风险筛查,比较三者对存在营养风险患者的检出率,并对556例患者的住院时间、感染发生率及病死率进行监测,分析营养风险与临床结局的关系。结果 NRS2002筛查存在营养风险患者的比例为38.8%,SGA为20.3%,MUST为21.3%,NRS2002筛查阳性率均显著高于SGA和MUST(P<0.01),而SGA与MUST比较没有显著差异(P>0.05)。除MUST筛查存在营养风险与无营养风险患者住院时间无明显差异(P>0.05)外,3种方法筛查存在营养风险患者的住院时间、感染发生率及病死率均高于无营养风险患者(P<0.05或P<0.01)。结论 3种筛查工具相比较,NRS2002检出率最高,适宜在消化内科推广使用。消化内科住院患者营养风险发生率高,存在营养风险患者的住院时间、感染及病死率均高于无风险患者。
Objective To evaluate the nutrition risk of inpatients in the gastroenterology department by using nutrition risk screening (NRS2002), subjective comprehensive assessment (SGA) and malnutrition universal screening tool (MUST), compare the effectiveness of the three, and analyze the patients nutritional risk and Correlation of clinical outcome. Methods A total of 556 inpatients with gastroenterology in our hospital from September 2013 to May 2014 were enrolled in this study. Nutritional risk screening was conducted using NRS2002, SGA and MUST respectively to compare the detection rates of the three patients with nutritional risk. The length of hospital stay, the incidence of infection and the mortality in 556 patients were monitored to analyze the relationship between nutritional risk and clinical outcome. Results The screening rate of NRS2002 was 38.8%, SGA was 20.3% and MUST was 21.3%. The positive rate of NRS2002 screening was significantly higher than that of SGA and MUST (P <0.01), but there was no significant difference between SGA and MUST (P> 0.05). There was no significant difference (P> 0.05) in hospitalization time between MUST screening and non-nutrition risk screening, and the three methods of screening patients with nutrition risk were longer in hospitalization, the incidence of infection and mortality were higher than those without nutrition risk (P <0.05 or P <0.01). Conclusion Compared with the three screening tools, NRS2002 has the highest detection rate and is suitable for promotion and use in digestive medicine. Inpatients with gastroenterology have a higher incidence of nutritional risk and hospital stay, infection and mortality at nutritional risk are higher than those without risk.