新疆医科大学学报

目的了解乌鲁木齐市某三甲医院住院患者营养风险发生率及营养支持的现状。方法采用连续定点抽样调查方法收集新疆医科大学第二附属医院消化科、呼吸科、神经科、肾病科、普外科、胸外科的新住院患者1 200例,应用NRS 2002方法进行营养风险筛查,并调查营养支持情况。结果 1 200例患者中用NRS2002方法营养筛查出1 060例,适用率为88.33%,1 060例患者中营养风险发生率为31.1%,营养不足发生率为10.2%,肥胖发生率为8.5%。肾病科营养不足的发生率最高,消化科的营养风险发生率最高。1 200例住院患者中营养不足和营养风险发生率分别为10.2%和31.1%。总体营养支持率为33.6%,其中肠外营养占20.0%,肠内营养占7.9%,肠外与肠内营养的应用比例为2.5∶1。结论乌鲁木齐市某三甲医院住院患者营养风险及营养不足发生率高,在实际营养支持过程中存在不合理现象,应加强关于指南的学习,规范合理应用。

Objective To investigate the nutritional risksand nutritional support among inpatients in tertiary hospitals in Urumuqi.Methods Using fixed-point consecutive sampling,1 200 inpatients were enrolled in the department of digestive,respiration,neurology,nephropathy,general surgery and thoracic surgery of the Second Affiliated Hospital of Xinjiang Medical University from March 2015 to August 2015.Nutritional Risk Screening 2002(NRS2002)was performed and nutritional support was evaluated in all patients.Results 1 060 cases were screened from 1 200 of patients with NRS2002 with the applicable rate was88.33%.The rate of nutritional risk was 31.1%in 1 060 patients occurred,and nutritional deficiencies rate was 10.2%,and obesity rate was 8.5%.The rate of nutrition insufficient was the highest in the department of nephrology,while nutrition risk rate was the highest in digestive department.The hospitalized patients with undernutrition and nutritional occupied 10.2% and 31.1%in 1 200 cases,respectively.Overall nutritional support rate was 33.6%,including parenteral nutrition(20.0%),enteral nutrition(7.9%),and parenteral and enteral nutrition application ratio was 2.5∶1.Conclusion A large proportion of inpatients are at nutritional risk or undernutrition in the tertiary hospitals in Urumqi.The application of nutrition support is inappropriate.Nutrition support should be enhance according to the guidelines.