我院脊柱外科和微创脊柱外科住院患者营养风险及营养支持情况调查
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篇名: 我院脊柱外科和微创脊柱外科住院患者营养风险及营养支持情况调查
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摘要: 目的:为了解脊柱外科和微创脊柱外科住院患者的营养状况和促进临床合理使用营养支持药物提供参考。方法:采用定点连续抽样的方法,选取我院脊柱外科和微创脊柱外科2013年1-12月符合入组条件的住院患者为对象,利用营养风险筛查工具2002调查患者入院和出院时的营养风险状况并记录其住院期间的营养支持情况。结果:432例纳入研究队列的患者中,入院时总体营养风险发生率为11.57%,其中脊柱外科为12.40%,微创脊柱外科为10.44%;出院时总体营养风险发生率为19.44%,其中脊柱外科为23.60%,与入院时比较差异有统计学意义(P<0.05),而微创脊柱外科为13.74%,与入院时比较差异无统计学意义(P>0.05)。入院时有营养风险的50例患者的营养支持率为88.00%,无营养风险的382例患者中仍有14.14%接受了额外的营养支持。有营养风险且接受了营养支持的44例患者平均能量摄入为(9.84±8.10)kJ/(kg·d),脂肪和蛋白质供能占比分别为10.16%和9.55%;所有接受营养支持的患者中未发现采用肠内营养支持方式者。结论:我院脊柱外科和微创脊柱外科住院患者入院时营养风险发生率总体较低,出院时前者营养风险发生率显著升高。而部分接受营养支持的患者并无适应证,且营养支持方式选择值得商榷,营养支持药物使用存在不合理之处。
ABSTRACT: OBJECTIVE: To provide reference for investigating the nutrition situation of the inpatients in departments of spinal surgery and minimally invasive spinal surgery and promoting the clinical rational use of nutritional support drugs. METHODS: Designated continuous sampling was used to select the inpatients that fit the conditions in the departments of spinal surgery and minimally invasive spinal surgery in our hospital from Jan. to Dec. 2013, and the nutritional risk screening 2002 was used to investigate the patients’ nutritional risk at admission and upon discharge, the nutritional support during hospitalization were recorded. RESULTS: In the 432 enrolled patients, the overall incidence of nutritional risk was 11.57% at admission, 12.40% in spinal surgery and 10.44% in minimally invasive spinal surgery; and the overall incidence of nutritional risk was 19.44% upon discharge, 23.60% in spinal surgery, with statistical significance when compared with admission (P<0.05), while 13.74% in minimally invasive spinal surgery, with no statistical significance when compared with admission (P>0.05). The nutritional support rate of 50 patients with nutritional risk at admission was 88.00%, 14.14% of 382 non-risk patients still received a redundant nutritional support. The 44 patients with nutritional risk who received nutritional support had the average calories intake of (9.84±8.10)kJ/(kg·d), including 10.16% lipids and 9.55% protein; all patients who received nutritional support found no patients with enteral nutrition support. CONCLUSIONS: Inpatients in departments of spinal surgery and minimally invasive spinal surgery suffer a lower incidence of nutritional risk at admission, and a higher incidence of nutritional risk in the former one upon discharge. While some patients who received nutritional support show no indication, and administrations of nutritional support are still debatable, the use of drug is irrational.
期刊: 2016年第27卷第30期
作者: 王楠楠,邵艳清,霍婷,邢文华,李树文,刘文辉
AUTHORS: WANG Nannan,SHAO Yanqing,HUO Ting,XING Wenhua,LI Shuwen,LIU Wenhui
关键字: 脊柱外科;微创脊柱外科;营养风险;营养支持;调查
KEYWORDS: Department of spinal surgery; Department of minimally invasive spinal surgery; Nutritional risk; Nutritional support; Investigation
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