摘要
目的探讨河源地区上消化道穿孔患者营养状况及营养风险筛查。方法采取连续定点抽样法,对124例上消化道穿孔患者的营养状况、营养风险筛查及营养支持进行分析。结果年龄<60岁组与≥60岁组的营养不足发生率比较,差异无统计学意义(P>0.05)。年龄<60岁组的营养风险发生率显著低于年龄≥60岁组,差异有统计学意义(P<0.05)。营养风险组的BMI、HB、PA及ALB水平显著高于营养不足组,差异有统计学意义(P<0.05)。营养风险组的肠内营养联合肠外营养、仅肠内营养、仅肠外营养支持率显著高于无营养风险组,差异有统计学意义(P<0.05)。实施营养支持组的住院时间、并发症发生率及住院费用显著低于未实施营养支持组,差异有统计学意义(P<0.05)。结论对上消化道穿孔患者进行营养状况评估与营养风险筛查,且对存在营养风险的患者采取积极营养支持治疗,能够明显降低患者的医疗费用,缩短住院时间,具有一定的社会效益及经济效益。
Objective To explore the nutriture and nutritional risk screening in patient with upper gastrointestinal tract perforation in Heyuan area. Methods By continuous fixed-point sampling method,nutriture,nutritional risk screening and nutrition support in 124 patient with upper gastrointestinal tract perforation was analyzed. Results The incidence of malnutrition between less than 60 years old and 60 years old,there was no statistical difference（P〈0.05）.The incidence of nutritional risk in group of ages less than 60 years old was lower than that over 60 years old,with significant difference（P 0.05）.The level of body mass index,hemoglobin,phosphatidic acid and albumin in nutritional risk group was higher than that in the malnutrition group,with significant difference（P〈0.05）.The support rate of enteral nutrition combined with parenteral nutrition,only enteral nutrition and single parenteral nutrition in the nutrition risk group was higher than that in non-nutrition risk group,with significant difference（P〈0.05）.Hospital stay,incidence of complication and cost in the nutrition support group was lower than that in non-nutrition support group,with significant difference（P 0.05）. Conclusion Nutritional assessment and nutritional risk screening in patient with upper digestive tract perforation,active therapy of nutritional support on nutritional risk of patient can significantly reduce the patient′s medical expenses,shorten the time of hospitalization,with social benefits and certain economic benefits.
出处
《中国当代医药》
2015年第3期145-147,共3页
China Modern Medicine
基金
广东省河源市科技计划项目(2013025)
关键词
河源地区
上消化道穿孔
营养状况
营养风险筛查
Heyuan area
Upper gastrointestinal tract perforation
Nutriture
Nutritional risk screening
