【摘要】：目的:研究營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查2002(NRS 2002)是否可作為對(duì)肝部分切除病人進(jìn)行營(yíng)養(yǎng)支持的依據(jù)。方法:收集肝部分切除病人243例進(jìn)行營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查,其中NRS 2002評(píng)分3分為182例,有營(yíng)養(yǎng)支持組的病人109例,無(wú)營(yíng)養(yǎng)支持組的病人73例;評(píng)分≥3分為61例,有營(yíng)養(yǎng)支持組的病人41例,無(wú)營(yíng)養(yǎng)支持組的病人20例,分別比較相關(guān)營(yíng)養(yǎng)指標(biāo)和臨床結(jié)局指標(biāo)。結(jié)果:在肝部分切除病人中,營(yíng)養(yǎng)風(fēng)險(xiǎn)發(fā)生率為25%。有營(yíng)養(yǎng)風(fēng)險(xiǎn)組的病人給予營(yíng)養(yǎng)支持的為67%,未給予營(yíng)養(yǎng)支持的為33%。無(wú)營(yíng)養(yǎng)風(fēng)險(xiǎn)組的病人給予營(yíng)養(yǎng)支持的為40%,未給予營(yíng)養(yǎng)支持的為60%。在有營(yíng)養(yǎng)風(fēng)險(xiǎn)組,有營(yíng)養(yǎng)支持組的病人和無(wú)營(yíng)養(yǎng)支持組的病人相比,入院時(shí)血清前清蛋白(PA)、清蛋白(ALB)、總蛋白(TP)均無(wú)顯著性差異(P0.05)。出院時(shí),有營(yíng)養(yǎng)支持組病人的血清PA、ALB含量均顯著高于無(wú)營(yíng)養(yǎng)支持組(P0.05);有營(yíng)養(yǎng)支持組病人的感染性并發(fā)癥發(fā)生率顯著低于無(wú)營(yíng)養(yǎng)支持組(P0.05)。在無(wú)營(yíng)養(yǎng)風(fēng)險(xiǎn)組,無(wú)論是否給予營(yíng)養(yǎng)支持,病人出院時(shí)血清PA、ALB、TP含量與入院時(shí)比均無(wú)顯著性差異(P0.05);有或無(wú)營(yíng)養(yǎng)支持的病人感染并發(fā)癥的發(fā)生率無(wú)顯著性差異(P0.05)。結(jié)論:營(yíng)養(yǎng)支持可顯著改善肝部分切除并存在營(yíng)養(yǎng)風(fēng)險(xiǎn)病人的營(yíng)養(yǎng)狀況和臨床結(jié)局。
[Abstract]:Objective: to investigate whether nutritional risk screening 2002 (NRS 2002) can be used as a basis for nutritional support in patients with partial hepatectomy. Methods: a total of 2002 patients with partial hepatectomy were selected for nutritional risk screening. The NRS 2002 score was divided into 3 groups, including 2002 patients with nutritional support, 2002 patients with nutritional support, 73 patients with no nutritional support and 61 patients with a score of 鈮，

本文編號(hào)：2160203