NRS-2002在COPD患者营养评估中的应用及其与检查指标的相关性

发布时间：2018-03-30 04:28

本文选题：慢性阻塞性肺疾病　切入点：营养风险筛查　出处：《中国老年学杂志》2017年14期

【摘要】：目的应用2002年欧洲肠外肠内营养学会发布营养不良筛查指南(NRS-2002)调查住院慢性阻塞性肺疾病(COPD)患者营养不良发生情况,探讨NRS-2002营养评价结果与体格检查指标和生化指标的相关性。方法随机抽取COPD患者218例,用NRS-2002进行营养风险筛查,同时进行体格检查,计算对应指标,测定血生化指标,分析NRS-2002营养评价结果与体格检查指标和生化指标的相关性。结果 218例住院COPD患者营养不良(NRS-2002≥3分)发生率31.7%,不同年龄段和不同肺功能分级患者间营养不良发生率存在统计学差异(P0.05)。NRS-2002营养评价结果与2个体格检查指标[体质指数(BMI)和去脂体重指数(FFMI)]和2个生化指标[白蛋白(ALB)和前白蛋白(PA)]存在关联性(P0.05)。结论住院COPD患者营养不良发生率较高,老年患者尤甚。NRS-2002适合作为住院COPD患者营养风险筛查工具,但在临床应用中应结合体格检查指标和生化指标进行全面综合营养评估。
[Abstract]:Objective to investigate the prevalence of malnutrition in hospitalized patients with chronic obstructive pulmonary disease (COPD) by using the 2002 European Society of Parenteral Nutrition (EPN) guidelines for the screening of malnutrition (NRS-2002). To explore the correlation between the results of NRS-2002 nutrition evaluation and physical examination and biochemical indexes. Methods 218 patients with COPD were randomly selected for nutritional risk screening with NRS-2002. At the same time, the corresponding indexes were calculated and blood biochemical indexes were measured. Results the results of nutritional evaluation of NRS-2002 were correlated with physical examination and biochemical indexes. Results the incidence of malnutrition in 218 COPD patients was 31.7, and the incidence of malnutrition was 31.7 among patients with different age groups and different grade of pulmonary function. There was a significant difference in birth rate between P0.05N, NRS-2002 nutritional evaluation results and two physical examination indexes (body mass index (BMI), body mass index (BMI) and body mass index (BMI)), and two biochemical indexes (Alb and PAA). Conclusion there is a significant correlation between the nutritional evaluation results of P0.05and COPD patients in our hospital. The incidence of malnutrition is high, NRS-2002 is suitable for nutritional risk screening of hospitalized COPD patients, but comprehensive nutritional assessment should be carried out in clinical application combined with physical examination and biochemical indexes.
【作者单位】：重庆医药高等专科学校护理学院内科护理教研室;重庆医药高等专科学校临床医学院预防教研室;第三军医大学新桥医院营养科;
【基金】：国家自然科学基金资助项目(81273058)
【分类号】：R563.9

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