引用本文:张跃林,李雪.[cn_title][J].[journal_cn_name],2020,[volume]([issue]):281-283.[点击复制]
ZHANG Yuelin,LI Xue.[en_title][J].[journal_en_name],2020,[volume]([issue]):281-283.[点击复制]
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神经内科住院患者营养风险发生情况及营养支持的现况调查
张跃林,李雪
0
(宜宾卫生学校;西南医科大学)
摘要:
目的 调查神经内科住院患者营养风险和营养支持情况。方法 2018年1月至4月抽取四川省人民医院神经内科住院患者209例,采用营养风险筛查工具2002(NRS 2002)和营养支持问卷调查其营养风险和营养支持情况。结果 神经内科住院患者营养风险发生率53.6%(112/209),不同年龄段和相关疾病史营养风险发生率差异有统计学意义(P<0.05)。营养支持率仅为20.1%(42/209),存在营养风险患者中,仅有30.4%(34/112)的患者接受了营养支持,而不存在营养风险的97例中有8例(8.2%)接受了营养支持。42例接受营养支持的患者中,7例仅接受肠内营养,17例仅接受肠外营养,18例接受肠内联合肠外营养。结论 神经内科住院患者营养风险发生率高,但营养支持率和合理营养支持率低,临床上应积极进行营养风险筛查,并根据筛查结果指导临床医生选择合理的营养支持方式。
关键词:  神经内科  营养风险筛查2002  营养风险  营养支持
DOI:
基金项目:
Nutritional risk and support of patients in neurology department: A cross-sectional survey
ZHANG Yuelin,LI Xue
(Yibin Health School;South-west Medical University)
Abstract:
Objective To investigate the nutritional risk and support of patients in neurology department. Methods From January to April 2018, 209 patients in neurology department were selected randomly. The nutritional risk and support status of patients was investigated by NRS 2002 and self-designed questionnaire. Results The incidence rate of nutrition risk was 53.6%(112/209). There was significant difference among the patients in neurology department with different age and history of related disease (P<0.05). Nutritional support rate only reached 20.1% (42/209), and only 30.4% (34/112) of patients received nutritional support. Among 112 patients with nutritional risk, there were 8 patients received nutritional support, and among 97 patients without nutritional risk (8.2%). 7 patients only received enternal nutrition (EN). 17 patients only received parenternal nutrition (PN). 18 patients received both EN and PN among 42 patients who have received nutritional support. Conclusions Neurological inpatients have a high incidence of nutritional risk. However, the nutritional support rate and reasonable nutritional support rate are low. Nutritional risk screening should be performed reasonably according to the results of test.
Key words:  Neurology department  Nutritional risk screening 2002  Nutritional risk  Nutritional support