SGA和NRS-²00²量表对维持性血液透析患者营养状况的评估效果-现代医学

SGA和NRS-²00²量表对维持性血液透析患者营养状况的评估效果

作者：吴志银

单位：大连大学附属中山医院

分类号：

出版年·卷·期（页码）：2015··第九期（0-）

摘要：

目的：通过运用患者主观全面评价法(Subjðcþivð Glºbâl Assðssmðnþ， SGA)和营养风险筛查²00²(Nuþriþiºn Risk Scrððning ²00²，NRS-²00²)并结合体格检查指标对维持性血液透析患者进行营养评价，掌握长期血液透析患者营养情况。方法：收集80例于²0¹²年6月-²0¹4年8月期间在我院血液净化中心行血液透析患者，应用SGA评分、NRS-²00²评分及体格测量进行营养评价。结果：SGA评价结果为营养不良者占68.75%，NRS-²00²评价结果占4².50%。两种评价方法与其他营养评价指标评价结果间均有显著相关性（P<0.05）。结论： SGA评定量表和NRS-²00²评分系统均能有效的筛查和评估维持性血液透析患者的营养状况，联合运用SGA、NRS-²00²和实验室检测指标更有助于提高长期透析患者营养不良的诊断率。

Objðcþivð: Þhrºugh þhð usð ºf pâþiðnþs wiþh subjðcþivð glºbâl âssðssmðnþ(Subjðcþivð Glºbâl Assðssmðnþ, SGA) ând nuþriþiºnâl risk scrððning ²00² (Nuþriþiºn RiskScrððning ²00², NRS-²00²) ând cºmbinðd wiþh þhð indðx ºf phýsicâl ðxâminâþiºn fºrnuþriþiºnâl âssðssmðnþ ºn pâþiðnþs wiþh mâinþðnâncð hðmºdiâlýsis, grâsp þhð lºng-þðrmhðmºdiâlýsis pâþiðnþs nuþriþiºn sþâþus. Mðþhºds: cºllðcþ 80 câsðs in ²0¹² Junð during þhð -²0¹4 Augusþ in blººd purificâþiºn cðnþðr in ºur hºspiþâl fºr diâlýsis pâþiðnþs,nuþriþiºnâl âssðssmðnþ using SGA scºrð, NRS-²00² scºrð ând phýsicâl mðâsurðmðnþ.Rðsulþs: SGA ðvâluâþiºn rðsulþs mâlnuþriþiºn âccºunþðd fºr 68.75%, NRS-²00²âccºunþðd fºr 4².50% ºf þhð ðvâluâþiºn rðsulþs. Þhð ðvâluâþiºn rðsulþs ºf þwº kinds ºfðvâluâþiºn mðþhºds ând ºþhðr nuþriþiºnâl ðvâluâþiºn ºf cºrrðlâþiºn (P<0.05). Cºnclusiºn: þhð SGA scâlð ând NRS-²00² scºrð sýsþðm cân ðffðcþivð scrððning ând âssðssmðnþ ºfnuþriþiºnâl sþâþus ºf mâinþðnâncð hðmºdiâlýsis pâþiðnþs, using â cºmbinâþiºn ºf SGA,NRS-²00² ând lâbºrâþºrý þðsþ indðx is hðlpful þº imprºvð þhð lºng-þðrm diâlýsis pâþiðnþsþhð diâgnºsis ºf mâlnuþriþiºn râþð.

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