广州医药 ›› 2016, Vol. 47 ›› Issue (4): 57-59.DOI: 10.3969/j.issn.1000-8535.2016.04.018

• 论著 • 上一篇    下一篇

非结核分枝杆菌肺病患者营养风险筛查及营养支持状况的分析

陈慧玉, 陈品儒, 肖芃, 卢春丽, 陈燕珍   

  1. 广州市胸科医院(广州 510095)
  • 收稿日期:2016-03-14 出版日期:2016-07-20 发布日期:2021-12-02
  • 通讯作者: 陈品儒,E-mail:13802974258@126.com
  • 基金资助:
    广东省医学科学研究项目(A2014576);广东省科技计划项目(粤科规划字[2013]137号-113);广州市医药卫生科技项目(20141A011039)

Clinical analysis of nutritional risk screening and application of nutritional support in hospitalized patients with non-tuberculosis mycobacteria pulmonary disease

Chen Huiyu, Chen Pinru, Xiao Peng, et al   

  1. Guangzhou Chest Hospital, Guangzhou 510095, China
  • Received:2016-03-14 Online:2016-07-20 Published:2021-12-02

摘要: 目的 了解非结核分枝杆菌肺病患者营养风险、营养不足发生率,以及营养支持的应用状况,为临床实施营养干预提供参考依据。方法 对2012年10月—2014年10月在广州市胸科医院就诊的非结核分枝杆菌肺病患者(符合NRS2002评定标准)的营养风险筛查与营养支持状况进行回顾性分析。结果 402例患者中,营养不足和营养风险的发生率分别为35.8%(144/402)和66.7%(268/402);所有患者中,总体营养支持率为60.0%(241/402), 使用肠外营养与肠内营养的比例为3.2∶1;老年患者,女性患者,复治患者更是发生营养风险和营养不足的高危人群;存在营养风险患者的营养支持率为82.1%(220/268),不存在营养风险患者营养支持率为15.7%(21/134)。结论 非结核分枝杆菌肺病患者存在较高比例的营养不足和营养风险,肠外肠内营养临床应用存在不合理性;应推广和使用NRS2002营养评定方法和肠内肠外营养指南,作为实施营养支持的依据。

关键词: NRS2002, 非结核分枝杆菌肺病, 住院患者, 营养风险, 营养不足, 营养支持

Abstract: Objective To investigate prevalence of nutritional risk, undernutrition, and nutritional support of hospitalized patients with non-tuberculosis mycobacteria. Methods Adult patients in Guangzhou Chest Hospital from October 2012 to October 2014 were enrolled by fix-point consecutive sampling. Nutritional Risk Screening 2002 (NRS2002) was performed and nutritional support was evaluated in all patients. Results A total of 402 patients were enrolled.Overall prevalence of undernutrition was 35.8%, and nutritional risk was 66.7%. Among all the patients, the rate of nutritional support was 60.0%, including 82.1%of patients with nutritional risk and 15.7% of non-risk patients. Gerontal patients, retreatment patients and female patients are in the greater possibility of being expose to nutritional risk or undernutrition. Conclusion A large proportion of inpatients with non-tuberculosis mycobacteria were at nutritional risk or undernutrition.The application of parenteral or enteral nutritional support currently maybe inappropriate. NRS2002 and parenteral or enteral nutrition guideline are required to affording nutritional support.

Key words: NRS2002, Non-tuberculosis mycobacteria, Inpatients, Nutritional risk, Undernutrition, Nutritional support