老年外科患者营养状况特点及住院期间营养支持的研究
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江苏高校优势学科建设工程资助(JX10231801);江苏省干部保健课题(002)


A study of nutrition characteristics and application of nutritional support of elderly surgical inpatients
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    摘要:

    目的:比较老年与中青年外科住院患者入院及出院时的营养状况,判断营养支持合理性-方法:应用NRS2002方法,对南京医科大学第一附属医院167例新入院患者进行调查,以65岁为界将患者分为中青年组和老年组,NRS≥3分为有营养风险,调查住院期间营养支持方式以及预后- 结果:①老年患者出院及入院时NRS评分-NRS≥3分患者所占比例均高于中青年患者,两组出院时的营养状况均较入院时差;②中青年组和老年组分别有23例(20%)和12例(22%)获得肠外营养(PN)支持,完全肠外营养(TPN)提供的能量低于机体需要量,能量支持不足比例达60%和67%,热氮比偏低;而在NRS≥3分的患者中,两组分别有12例(24%)和11例(34%)患者获得PN,TPN支持提供的能量不能达到目标能量供给,能量支持不足比例达63%和73%,热氮比亦偏低;③NRS≥3分的患者中老年组与中青年组NRS≥3分的患者相比,住院天数更长-结论:应加强老年患者住院期间的营养支持治疗;应根据NRS评分对有营养风险的患者给予营养支持;TPN提供的能量不能达到目标能量供给,且成分不合理;在PN中,仍存在单氨基酸输注-

    Abstract:

    Objective:To compare nutritional status of elder and youth-middle-aged surgical patients both on admission and at discharge,and investigate the rationality of nutritional therapy. Methods:Nutritional risk screening (NRS2002)was applied to investigate 167 cases of newly admitted patients. Then we divided patients into two groups by 65-year-old,including the youth-middle-aged group and the elder group. NRS2002≥3 was set as nutrition risk. The rationality of nutritional support and prognosis were investigated as well. Results: ①NRS score and the proportion of the patients whose NRS≥3 in the elder group were higher than those in the youth-middle-aged group both on admission and at discharge. The patients both in the two groups had poorer nutritional status at discharge. ②23 cases(20%)in the youth-middle-aged group and 12 cases(22%)in the elder group received parenteral nutrition(PN) respectively.The calories total parenteral nutrition(TPN) provided both in the two groups were insufficient. The ratios of insufficient calories providing were 60% in the youth-middle-aged group and 67% in the elder group. The ratio of calories to nitrogen was low. In the patients whose NRS≥3,there were 12 cases (24%)and 11 cases (34%)who received PN support between the two groups respectively. The calories TPN provided both in the two groups were insufficient too. The ratios were 63% in the youth-middle-aged group and 73% in the elder group respectively. The ratio of calories to nitrogen was low too.③Compared with the patients whose NRS≥3 in the youth-middle-aged group,the patients whose NRS≥3 in the elder group had longer hospital stay. Conclusion:The nutritional support therapy should be strengthened while hospitalized. Nutrition support treatment should be supplied to the patients with nutritional risk according to NRS score. The calories TPN provided were insufficient. and the composition was not reasonable. There was a still asingle amino acid infusion in PN.

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蒯 凤,王 磊,韩 艺,周苏明,黄 敏.老年外科患者营养状况特点及住院期间营养支持的研究[J].南京医科大学学报(自然科学版),2016,(8):987-990

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  • 收稿日期:2016-01-29
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  • 在线发布日期: 2016-08-19
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