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普通外科入院时营养风险评估

Evaluation of nutritional risk on admission to the general surgery department.

作者信息

Haldun Gündogdu, Eren Ersoy, Recep Aktimur, Hakan Kulacoglu, Mehmet Ozdogan, Vedat Ozturk, Tanju Acar

机构信息

General Surgery Department, Ankara Atatürk Research and Educational Hospital, Ankara, Turkey.

出版信息

Bratisl Lek Listy. 2008;109(2):57-60.

PMID:18457310
Abstract

BACKGROUND

"Risk Screening 2002" screening index, advised by European Society for Clinical Nutrition and Metabolism in 2003, is gradually being used in surgery clinics.

METHODS

"Nutritional Risk Screening 2002" was applied in order to evaluate the nutritional status of the patients administered to the department by the staff doctors of the clinic who were trained on standard nutritional education and the use of NRS-2002 between 15 June 2005 and 10 March 2006. The patients having "Nutritional Risk Screening 2002" score 3 were considered as nutritionally under risk.

RESULTS

Totally 793 patients were evaluated in double blinded fashion. 75 patients were revealed as being under nutritional risk of whom 26 having benign and 49 having malign etiologies. 84 % of the patients with malignancy were under nutritional risk.

CONCLUSIONS

Patients, especially the ones having malignancy, admitted to the General Surgery departments, are under nutritional risk. NRS-2002 is a new method to evaluate nutritional risk which is easy to apply and clear to evaluate. It should be applied to all patients routinely during admittance and periodically as long as they stay at the hospital (Tab. 2, Ref. 17).

摘要

背景

欧洲临床营养与代谢学会于2003年推荐的“2002年风险筛查”筛查指标正逐渐在外科诊所中得到应用。

方法

2005年6月15日至2006年3月10日期间,由接受过标准营养教育及NRS - 2002使用培训的门诊主治医生对该科室收治的患者应用“2002年营养风险筛查”来评估其营养状况。“2002年营养风险筛查”评分≥3分的患者被视为存在营养风险。

结果

共对793例患者进行了双盲评估。发现75例患者存在营养风险,其中病因良性者26例,恶性者49例。84%的恶性肿瘤患者存在营养风险。

结论

普通外科收治的患者,尤其是患有恶性肿瘤的患者,存在营养风险。NRS - 2002是一种评估营养风险的新方法,易于应用且评估清晰。应在患者入院时常规应用于所有患者,并在其住院期间定期应用(表2,参考文献17)。

相似文献

1
Evaluation of nutritional risk on admission to the general surgery department.普通外科入院时营养风险评估
Bratisl Lek Listy. 2008;109(2):57-60.
2
The efficacy of Nutrition Risk Screening-2002 (NRS-2002) to decide on the nutritional support in general surgery patients.营养风险筛查2002(NRS - 2002)在普通外科患者中决定营养支持的有效性。
Bratisl Lek Listy. 2009;110(5):290-2.
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Comparison of tools for nutritional assessment and screening at hospital admission: a population study.入院时营养评估和筛查工具的比较:一项人群研究。
Clin Nutr. 2006 Jun;25(3):409-17. doi: 10.1016/j.clnu.2005.11.001. Epub 2005 Dec 13.
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The Graz Malnutrition Screening (GMS): a new hospital screening tool for malnutrition.格拉茨营养不良筛查(GMS):一种用于营养不良的新型医院筛查工具。
Br J Nutr. 2016 Feb 28;115(4):650-7. doi: 10.1017/S0007114515004924. Epub 2015 Dec 14.
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Nutritional screening model in tertiary medical unit in Croatia.克罗地亚三级医疗机构的营养筛查模型。
Ann Nutr Metab. 2012;61(1):65-9. doi: 10.1159/000338967. Epub 2012 Jul 24.
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Assessment of a novel screening score for nutritional risk in predicting complications in gastro-intestinal surgery.评估一种用于预测胃肠手术并发症的新型营养风险筛查评分。
Clin Nutr. 2008 Aug;27(4):565-70. doi: 10.1016/j.clnu.2008.01.010. Epub 2008 Mar 17.
7
[INFORNUT process: validation of the filter phase-FILNUT--and comparison with other methods for the detection of early hospital hyponutrition].[INFORNUT流程:滤过阶段(FILNUT)的验证以及与其他早期医院营养不良检测方法的比较]
Nutr Hosp. 2006 Jul-Aug;21(4):491-504.
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Comparison of tools for nutrition assessment and screening for predicting the development of complications in orthopedic surgery.用于预测骨科手术并发症发生的营养评估和筛查工具的比较
Nutr Clin Pract. 2009 Apr-May;24(2):274-80. doi: 10.1177/0884533609332087.
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Screening of the nutritional risk of patients with gastric carcinoma before operation by NRS 2002 and its relationship with postoperative results.应用 NRS 2002 对胃癌手术患者术前营养风险筛查及其与术后结果的关系。
J Gastroenterol Hepatol. 2010 Apr;25(4):800-3. doi: 10.1111/j.1440-1746.2009.06198.x.
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[Comparison of two nutritional screening tools for predicting the development of complications in hospitalized patients].[两种营养筛查工具对预测住院患者并发症发生情况的比较]
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