【作者】 张磊；

【导师】 万大海；

【作者基本信息】 山西医科大学 ， 外科学（专业学位）， 2017， 硕士

【摘要】 目的:通过调查山西某三甲医院神经外科重症患者营养风险和营养支持应用情况,评估该院神经外科营养风险发生率和营养支持情况。方法:回顾性调查2015年1月至2016年1月山西某三甲医院神经外科重症住院患者98例,对其应用营养风险筛查2002(nutrition risk screening,NRS 2002)进行营养风险评估,统计营养风险发生率以及14 d内的营养支持应用状况。结果:在符合标准的98例患者中,营养风险发生率45.91%(45/98),营养风险组接受营养支持率64.44%,无营养风险组接受营养支持率52.83%。在98例患者中接受营养支持者高达57例,并且全部接受营养支持的患者大都单独使用肠内营养支持方式。风险组血糖明显高于无风险组,外周淋巴细胞总数明显低于无风险组。组间比较:风险组较无风险组营养指标前白蛋白1 d时明显降低,总蛋白、白蛋白、前白蛋白14 d时明显降低。组内比较:风险组14 d时总蛋白、白蛋白、前白蛋白明显降低,无风险组14 d时总蛋白、白蛋白明显降低。风险组相关并发症(吸入性肺炎、呕吐及腹泻)共18例,占40.0%,无风险组共9例,占16.98%。结论:本院患者营养风险率较高,同时患者接受营养支持应用率也相对较高,均以肠内营养支持为主,但预期与实际情况有一定差别。更多还原

【Abstract】 Objective:To investigate the condtion of nutrition risk and the application ofnutrition support with severe patients of neurosurgery in a tertiary hospital of Shanxi,which evaluate their incidence of nutritional risk and nutritional support used enteral nutrition.Methods:98 severe patients in neurosurgery in a tertiary hospital of Shanxi from January2015 to January 2016 were used the nutrition risk screening 2002 for evaluating nutritional risk and surveying the incidence of nutritional risk as well as the condition of nutrition support application within 14 days through retrospective analysis.Results:45 patients in 98 had nutrition risk,the incidence 45.91%(45/98.The incidence of patients,received nutrition support,of nutrition risk and risk-free were 64.44% and52.83%.57 patients among 98 were received nutrition support,of which major patients wered used the enteral nutrition support.The blood sugar of the patients in nutrition risk groups was higer than in nutrition risk-free groups,in the contrast,the total lymphocyte count was lower.The number of prealbumin in nutrition risk groups were obviously decreased at first day,total protein,albumin and prealbumin were markedly lower at fourteen days,in the meantime,the first two were the same in nutrition risk-free groups.18 patients in nutrition risk groups had complications,such aspiration pneumonia,emesisand diarrhea,the propotion 40.0%,in comparion,the propotion was 16.98% in 9 petients nutrition risk-free groups.Conclusion:These severe patients of this hospital neurosurgery had a high requency of nutrition risk,while these patients were a high propotion in applying nutrition support in term of enteral nutrition support,but expectations and the actual situation has certain difference.更多还原