【摘要】 目的:调查普通外科住院病人营养风险、营养不良和营养支持应用情况。方法:采用营养风险筛查方法(NRS2002)对普通外科625例住院病人进行营养风险筛查,统计营养不良、营养风险发生率和营养支持率,并调查病人2周内(或至出院时)的营养支持状况。结果:NRS2002完全适用率为92.5%,营养不良发生率为15.5%,营养风险的发生率为30.4%。以胃肠外科病人多见(P<0.01)。190例有营养风险的病人中,有93例(48.9%)接受了营养支持;在无营养风险的338例病人中,有61例(18%)接受了营养支持。所有病人肠外和肠内营养的应用比例为4.4∶1。结论:NRS2002适用于普通外科住院病人的营养筛查。普通外科有一定量的住院病人存在营养风险,特别是胃肠外科病人营养风险较高。临床营养支持普遍不足,营养支持应用还存在某些不合理性。更多还原

【Abstract】 Objective:To investigate the prevalence of nutritional risk,malnutrition and application of nutritional support in general surgical wards.Methods:The information of 625 patients were collected in general surgical wards.Nutritional risk screening 2002(NRS2002) was performed and nutritional support evaluation was performed on the 14th day of admission or on the discharge day.Results:NRS2002 scoring was performed among 92.5%patients.Prevalence of malnutrition was 15.5% and nutritional risk was 30.4%.Patients with gastrointestinal diseases had higher risks than others.93 patients(48.9%) with NRS2002≥3 received nutrition support,and 61 patients(18%) with NRS2002<3 received nutritional support.The average PN ∶ EN ratio was 4.4∶1. Conclusion:NRS2002 is a feasible nutritional risk screening tool for inpatients in general surgical wards.Patients with gastrointestinal diseases have higher possibilities of nutritional risks.The nutritional supports rates are generally low.The application of nutritional support currently is somehow inappropriate.更多还原