我院结直肠科住院患者营养不足和营养风险发生情况的调查
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篇名: 我院结直肠科住院患者营养不足和营养风险发生情况的调查
TITLE:
摘要: 目的:为改善结直肠科住院患者的营养状况提供参考。方法:以我院2013年1月1日-2015年12月31日结直肠科收治的直肠癌、结肠癌和结直肠息肉住院患者为对象,应用“营养风险筛查工具2002”对其进行营养状况评估,调查其营养不足和营养风险发生情况。结果:纳入的370例患者中,总体营养不足发生率为25.1%,总体营养风险发生率为31.4%;经统计学分析,男、女性患者间营养不足和营养风险发生率比较差异均无统计学意义(P>0.05),3种疾病患者间营养不足和营养风险发生率比较差异均有统计学意义(P<0.05,结肠癌患者高于直肠癌和结直肠息肉患者)。3种疾病患者入、出院时体质量指数比较差异均无统计学意义(P>0.05),血清白蛋白比较差异均有统计学意义(P<0.05,出院时显著降低)。结论:结直肠科应对住院患者(尤其是结肠癌患者)营养不足和营养风险发生情况予以重视,给予充分的营养支持治疗,并加强对患者的术后营养恢复指导。
ABSTRACT: OBJECTIVE: To provide reference for improving the nutritional status of inpatients in colorectal department. METHODS: Selecting the inpatients with rectal cancer, colon cancer and colorectal polyps in colorectal department in our hospital from Jan. 1, 2013 to Dec. 31, 2015 as objects, “Nutrition Risk Screening Tool 2002” was used for evaluating the nutritional status, undernutrition and nutrition risk were investigated. RESULTS: In the enrolled 370 patients, the incidence of total undernutritional deficiency was 25.1%, and the incidence of total nutritional risk was 31.4%; accounting to statistical analysis, there were no significant differences in the incidence of undernutrition and nutritional risk in male and female patients (P>0.05), while there were significant differences in the incidence of undernutrition and nutritional risk in patients with the 3 diseases (P<0.05, the incidence of undernutrition and nutritional risk of colon cancer patients was higher than patients with rectal and colorectal polyps). There were no significant differences in body mass indexes in patients with the 3 diseases at the time of admission and discharge (P>0.05), but the serum albumin was statistically significant (P<0.05, which was significantly decreased at discharge). CONCLUSIONS: The undernutrition and nutritional risk sitation of the inpatients (especially the patients with colon cancer) in colorectal department should be noticed, giving adequate nutrition support and strengthening the guidance of postoperative nutrition.
期刊: 2016年第27卷第33期
作者: 杨静,王治海,樊点莲
AUTHORS: YANG Jing,WANG Zhihai,FAN Dianlian
关键字: 结直肠科;营养不足;营养风险;营养风险筛查工具2002;调查
KEYWORDS: Colorectal department; Undernutrition; Nutrition risk; NRS 2002; Investigation
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