评估神经外科重症患者营养风险和营养支持情况

发布时间：2018-05-30 01:24

本文选题：神经外科 + 重症患者　；参考：《山西医科大学》2017年硕士论文

【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。
[Abstract]:Objective: to evaluate the incidence of nutritional risk and nutritional support by investigating the nutritional risk and nutritional support of neurosurgery patients in a third Class A Hospital in Shanxi Province. Methods: from January 2015 to January 2016, 98 severe inpatients of neurosurgery in a third Class A Hospital of Shanxi Province were retrospectively investigated. The nutritional risk was assessed by using 2002(nutrition risk screening NRS 2002. The incidence of nutritional risk and the application of nutritional support within 14 days were analyzed. Results: among 98 patients who met the criteria, the incidence of nutritional risk was 45.91or 45 / 98. The nutritional risk group received the nutritional support rate of 64.44%, and the non-nutritional risk group received the nutritional support rate of 52.83%. Among 98 patients, 57 received nutrition support, and most of the patients received nutrition support alone. The blood glucose in risk group was significantly higher than that in non-risk group, and the total peripheral lymphocyte count was significantly lower than that in non-risk group. Comparison between groups: the nutritional index of the risk group was significantly lower than that of the non-risk group at the 1st day, the total protein, albumin and prealbumin were significantly decreased at the 14th day. Intra-group comparison: the total protein, albumin and prealbumin were significantly decreased in the risk group at 14 d, and the total protein and albumin in the no-risk group at 14 d. There were 18 cases (40.0%) with associated complications (aspiration pneumonia, vomiting and diarrhea) in the risk group, and 9 cases (16.98%) in the non-risk group. Conclusion: the nutritional risk rate of patients in our hospital is higher and the application rate of nutritional support is also relatively high in our hospital. Enteral nutrition support is the main factor, but the expectation is different from the actual situation.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R459.3

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