摘要
目的:观察腹部大手术病人术前营养风险筛查结果对其术后临床结局的影响。方法:采用观察性研究,收集2017年10月至2019年10月在本院就诊的须行腹部大手术的病人172例进行调查,应用NRS 2002对其进行营养风险筛查,分析术前病人的营养风险、生活质量评分及生化检查结果与术后病人感染发生率、再入院率、住院天数以及住院费用等的相关性。结果:172例行腹部手术的病人营养风险发生率为20.34%,营养风险的发生率与术前体质量指数呈负相关关系,有营养风险的病人生活质量较无营养风险的病人低(P <0.05);有营养风险的病人感染发生率、60 d再入院率、住院费用、住院天数及抗生素使用天数均高于无营养风险的病人,差异有统计学意义(P <0.05)。结论:术前存在营养风险的病人临床预后较无营养风险的病人差,行腹部大手术的病人入院时的营养风险筛查、营养支持方案需要引起临床医护人员的重视,尽早发现有营养风险的病人并按照相关指南实施正确的营养支持以达到改善病人临床预后的目的。
Objective: To investigate the effect of preoperative nutritional risk screening on clinical outcomes of patients undergoing abdominal surgery. Methods: A total of 172 patients who underwent abdominal surgery in our hospital from October 2017 to October 2019 were enrolled in this study. NRS 2002 was used to screen and assess the nutritional risk of the patients. The quality of life score, blood biochemical examination results, postoperative infection incidence, 60-day readmission, length of stay, hospitalization expenses and days of antibiotic use were recorded and their associations with the preoperative nutritional risk were evaluated. Results: The incidence of nutritional risk in the patients undergoing abdominal surgery was 20.34%, and the nutritional risk was negatively correlated with preoperative body mass index. The quality of life scores in the patients with nutritional risk were significantly lower than those without nutritional risk(P < 0.05). By contrast, the postoperative infection incidence, 60-day readmission rate,hospitalization expenses, hospitalization days and days of antibiotic use in patients with nutritional risk were markedly higher than those without nutritional risk(P < 0.05). Conclusion: Our data indicated that the clinical prognosis of the patients with preoperative nutritional risk was usually worse than those without nutritional risk. Evaluation of nutritional risk on admission should be conducted in the patients undergoing major abdominal surgery, which might have implications for nutritional support therapy in the patients with higher nutritional risk and improving their clinical outcomes after operations.
作者
项笑娜
王蕾蕾
张片红
XIANG Xiao-na;WANG Lei-lei;ZHANG Pian-hong(Department of Clinical Nutrition,The Second Affiliated Hospital of Zhejiang University,School of Medicine,Hangzhou 310009,Zhejiang,China)
出处
《肠外与肠内营养》
CAS
CSCD
北大核心
2022年第4期213-217,共5页
Parenteral & Enteral Nutrition
基金
浙江省教育厅科研项目(Y201738692)
作者简介
项笑娜,营养技师,从事临床营养专业。E-mail:313977736@qq.com;通讯作者:王蕾蕾,E-mail:2513118@zju.edu.cn
