文章摘要
孔建华,张洁,滑莹莹,等.营养风险筛查在老年糖尿病肾病患者营养评估中的应用[J].中国临床保健杂志,2017,20(1):58-60.
营养风险筛查在老年糖尿病肾病患者营养评估中的应用
The application of nutritional risk screening in nutritional assessments of elderly patients with diabetic nephropathy
投稿时间：2016-03-20  
DOI：10.3969/J.issn.1672-6790.2017.01.018
中文关键词: 糖尿病肾病  营养不良  营养评价  老年人
英文关键词: Diabetic nephropathies  Malnutrition  Nutrition assessment  Aged〖FL
基金项目:北京西城区卫生局青年科技人才(科技新星)培养项目(xwkx2014-01)
作者单位E-mail
孔建华 首都医科大学附属复兴医院干保科,北京 100038 kongjianhua_fxyy@sina.cn 
张洁 首都医科大学附属复兴医院干保科,北京 100038  
滑莹莹 首都医科大学附属复兴医院干保科,北京 100038  
崔云婧 首都医科大学附属复兴医院干保科,北京 100038  
樊晓曦 首都医科大学附属复兴医院干保科,北京 100038  
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中文摘要:
      目的 应用营养风险筛查(NRS)2002对老年糖尿病肾病(DN)住院患者进行营养筛查,了解其营养不良的患病率,以确定营养干预的重点人群。方法 采用NRS2002、同时测定体质量指数(BMI)及血清白蛋白(ALB)、前白蛋白(PA)、血肌酐(SCr)等生化指标,对168例老年糖尿病肾病住院患者进行营养评估,评价其营养状况,并进行相关性分析。结果 168例老年糖尿病肾病患者中,NRS2002评分≥3分存在营养不良风险者51例(30.4%),DN Ⅴ期患者营养不良风险发生率最高达62.5%,与DN Ⅲ期20.5%比较,差异有统计学意义(P<0.05)；BMI<18.5 kg/m2者18例,营养不良的发生率为10.7%,ALB＜30 g/L患者27例,营养不良的发生率为16.1%,NRS2002评分与BMI、ALB、PA、SCr有相关关系(P<0.05)。结论 老年糖尿病肾病患者营养不良的发生率高,NRS2002是一种简单、有效的营养评估方法,能够早期发现存在营养不良风险的患者。
英文摘要:
      Objective To investigate the prevalence of malnutrition based on nutritional screening among elderly hospitalized patients with diabetic nephropathy (DN) by Nutritional risk screening 2002 (NRS),to determine the emphasis crowd of nutritional intervention.Method The nutritional status of 168 cases elderly hospitalized patients with DN were assessed by NRS2002,body mass index (BMI),serum albumin(ALB),prealbumin(PA),serum creatinine(SCr) etc biochemical index.Results There were 51 cases (30.4%) with malnutrition risks (NRS2002 score ≥3 points) among 168 cases of elderly patients with diabetic nephropathy.The malnutrition prevalence of DN Ⅴ patients was the highest,by 62.5%,significantly higher than DN Ⅲ patients group (20.5%),the difference was statistically significant (P<0.05).There were 18 cases with BMI<18.5 kg/m2,the prevalence of malnutrition was 10.7%.There were 27 patients with ALB<30 g/L,the prevalence of malnutrition was16.1%.NRS2002 is associated(P<0.05) with body mass index (BMI),albumin (ALB),prealbumin (PA) and serum creatinine (SCr).Conclusions The prevalence of malnutrition is high in elderly patients with diabetic nephropathy.NRS2002 is a simple and efficient method of nutritional assessment elderly patients with diabetic nephropathy.
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