北京大学第一医院消化内科2015年住院患者营养风险筛查和营养支持调查

doi:10.3969/j.issn.1006-3110.2017.04.011

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摘要目的通过分析北京大学第一医院消化内科住院患者的营养风险及营养支持使用状况,发现当今消化内科营养支持治疗的问题。方法采用定点连续采样的方法,对2014年12月-2015年12月在北京大学第一医院消化内科住院患者使用NRS2002进行连续营养风险筛查,记录患者住院期间营养支持使用情况,包括营养支持方式、热卡量、蛋白质入量以及使用天数。分析消化内科不同疾病患者的营养风险状况。结果连续筛查患者1 103例,共纳入符合标准患者786例。营养风险发生率为28.88%,营养支持率为32.44%。有营养风险、无营养风险患者营养支持率分别为67.40%、18.25%,差异有统计学意义(P<0.05)。老年患者、中青年患者营养风险发生率分别为30.00%、28.29%,差异无统计学意义(P>0.05)。不同疾病的营养风险发生率依次是结核(85.71%)、胰腺疾病(72.58%)、肠梗阻(62.50%)、缺血性肠病(53.33%)、消化道出血(50.79%)、胆道疾病(40.91%)、炎症性肠病(37.63%)。肠外营养(PE)支持169例,肠内营养(NE)支持93例,PN:EN为2:1。结论 2015年北京大学第一医院消化内科住院患者的营养风险发生率高,老年患者营养风险发生率与中青年患者无明显差别,营养支持既有忽视又有滥用现象,应继续推广营养风险理念,规范营养支持。

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	魏天桐
	王卉
	高媛
	怀鑫馨
	王化虹

关键词 ：消化系统疾病, 营养风险筛查(NRS2002), 营养风险, 营养支持

Abstract：Objective To find out the problems of nutritional support therapy of digestive diseases through analyzing the status of nutritional risk and nutritional support of inpatients in Department of Gastroenterology, the First Hospital of Peking University. Methods We used a continuous fixed-point sampling method and nutritional risk screening (NRS2002) to uninterruptedly perform nutritional risk screening among inpatients in Department of Gastroenterology, the First Hospital of Peking University from December 2014 to December 2015, and then evaluated the utilization of nutritional support by the inpatients during their hospita-lization, including the mode of nutritional support, the amount of calories, the amount of protein intake and the using days. The status of nutritional risk of the inpatients with different gastroenterological diseases was analyzed. Results A total of 1,103 inpatients were continuously screened, and 786 who met the standards were enrolled in this study. The incidence rate of nutritional risk was 28.88% and the utilization rate of nutritional support was 32.44%. The utilization rate of nutritional support in inpatients with and without nutritional risk were 67.40% and 18.25% respectively, showing a statistically significant difference (P<0.05). The incidence rates of nutritional risk in the elderly inpatients as well as in the young and middle-aged inpatients were 30.00% and 28.29% respectively, indicating no significant difference (P>0.05). Tuberculosis had the highest incidence rate of nutritional risk (85.71%), followed by pancreatic disease (72.58%), intestinal obstruction (62.50%), ischemic bowel disease (53.33%), alimentary tract hemorrhage (50.79%), biliary tract disease (40.91%) and inflammatory bowel disease (37.63%). 169 cases received parenteral nutrition support and 93 enteral nutrition support. The ratio of parenteral nutrition (PN) to enteral nutrition (EN) was 2:1. Conclusions The incidence rate of nutrition risk is high in the inpatients of Department of Gastroenterology, the First Hospital of Peking University in 2015. No significant difference is found in the incidence rate of nutrition risk between the elderly inpatients and young and middle-aged inpatients. Both neglect and abuse exist in nutritional support treatment. It is necessary to continuously promote the concept of nutritional risk and standardize nutritional support.

Key words： gastroenterological disease nutritional risk screening (NRS2002) nutritional risk nutritional support

收稿日期: 2016-11-03

R151.42

基金资助:北京大学第一医院科研基金(2016HL34)

通讯作者: 王化虹,E-mail:wwwanghuahong@163.com。

作者简介: 魏天桐(1990-),女,河北石家庄人,在读硕士,研究方向:炎症性肠病的临床与基础。

引用本文:

魏天桐,王卉,高媛,怀鑫馨,王化虹. 北京大学第一医院消化内科2015年住院患者营养风险筛查和营养支持调查[J]. 实用预防医学, 2017, 24(4): 419-422. WEI Tian-tong, WANG Hui, GAO Yuan, HUAI Xin-xin, WANG Hua-hong. Nutritional risk screening and nutritional support of inpatients in Departmentof Gastroenterology, the First Hospital of Peking University, 2015. , 2017, 24(4): 419-422.

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https://www.syyfyx.com/CN/10.3969/j.issn.1006-3110.2017.04.011 或 https://www.syyfyx.com/CN/Y2017/V24/I4/419

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