营养状态在普通外科住院患者的现状及影响

发布时间：2017-12-31 20:31

本文关键词：营养状态在普通外科住院患者的现状及影响　出处：《新疆医科大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：总结我院普通外科11 10例住院患者入院及出院时营养状况,比较主观全面营养评定法(Subjective Global Assessment, SGA)与营养风险筛查2002 (Nutritional Risk Screening 2002, NRS2002)在住院患者入出院时应用的差异性及一致性,并探讨营养风险发生率与科室、年龄、手术部位、病种等关系,为临床住院患者营养支持治疗提供科学依据。方法：采用横断面研究方法,收集调查我院2014年5月-8月四月间普通外科各科室住院患者一般资料、生化检查、人体测量数据等资料,并应用NRS2002与SGA营养评定量表于患者入出院时分别给予营养评分,动态观察患者住院期间机体营养变化。结果：一般营养指标淋巴细胞、血红蛋白、总蛋白、白蛋白、小腿围、握力、体重指数入出院时组间比较P0.05；两种营养风险评定量表相比较,入院时差异性P0.05,一致性kappa=0.635,出院时差异性P0.05,一致性kappa=0.822;入院时应用NRS2002对住院患者行营养风险评估,总营养风险发生率为44.1%,总营养支持率为45.7%；各科室营养风险发生率P0.05,胃肠肿瘤外科发生率最高；各年龄组营养风险发生率P0.05,且随年龄增加营养风险发生率相应增加；不同手术部位患者营养风险发生率P0.05,存在差异；不同病种间患者营养风险发生率P0.05,存在差异。结论：住院患者出院时营养状况较入院时下降；普通外科中胃肠肿瘤外科营养风险发生率最高；NRS2002较SGA营养评分量表更适合于患者入院时应用,而患者出院时两种评分量表同样适用。
[Abstract]:Objective: To summarize 1110 cases of general surgery patients in our hospital admission and discharge status, subjective global nutritional assessment (Subjective Global, Assessment, SGA) and nutritional risk screening 2002 (Nutritional Risk 2002 Screening, NRS2002) the difference and consistency in the application of patients into and out of the hospital, and to investigate the nutritional risk rate and department, age, surgical site, disease, for clinical patients and provide scientific basis for nutritional support treatment. Methods: a cross-sectional study method, collected in our hospital in May 2014 April -8 month between each department of general surgery in patients with general information, biochemical examination, anthropometric data, and the application of NRS2002 and SGA nutrition rating scale in patients in the hospital were given nutritional score, dynamic observation of hospitalized patients with nutritional changes. Results: the general nutrition index of lymph Cell, hemoglobin, total protein, albumin, calf circumference, grip strength, body mass index were compared between groups in P0.05; two kinds of nutritional risk assessment scale comparison, admission difference P0.05, kappa=0.635 consistency, the difference of P0.05 discharge, kappa=0.822 consistency; admission application NRS2002 on the patients with nutritional risk assessment in hospital. The total incidence of nutritional risk was 44.1%, the total nutritional support rate was 45.7%; the incidence of nutritional risk P0.05, surgical gastrointestinal tumors had the highest incidence of each age group; the incidence of nutritional risk P0.05 increases with age, and the incidence of nutritional risk increase; nutritional risk of patients with different surgical site P0.05 incidence, there are differences; different diseases of nutrition risk incidence in P0.05, there are differences. Conclusion: the nutritional status of inpatients on admission were decreased; the wind nutrition gastrointestinal tumor surgery in general surgery The incidence of risk was the highest; NRS2002 was more suitable than the SGA nutrition scale for admission, while the two scales were equally applicable to patients when they were discharged from hospital.

【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R459.3

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