本文選題：神經(jīng)外科 + 重癥患者��； 參考：《山西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:通過調(diào)查山西某三甲醫(yī)院神經(jīng)外科重癥患者營養(yǎng)風(fēng)險和營養(yǎng)支持應(yīng)用情況,評估該院神經(jīng)外科營養(yǎng)風(fēng)險發(fā)生率和營養(yǎng)支持情況。方法:回顧性調(diào)查2015年1月至2016年1月山西某三甲醫(yī)院神經(jīng)外科重癥住院患者98例,對其應(yīng)用營養(yǎng)風(fēng)險篩查2002(nutrition risk screening,NRS 2002)進(jìn)行營養(yǎng)風(fēng)險評估,統(tǒng)計營養(yǎng)風(fēng)險發(fā)生率以及14 d內(nèi)的營養(yǎng)支持應(yīng)用狀況。結(jié)果:在符合標(biāo)準(zhǔn)的98例患者中,營養(yǎng)風(fēng)險發(fā)生率45.91%(45/98),營養(yǎng)風(fēng)險組接受營養(yǎng)支持率64.44%,無營養(yǎng)風(fēng)險組接受營養(yǎng)支持率52.83%。在98例患者中接受營養(yǎng)支持者高達(dá)57例,并且全部接受營養(yǎng)支持的患者大都單獨使用腸內(nèi)營養(yǎng)支持方式。風(fēng)險組血糖明顯高于無風(fēng)險組,外周淋巴細(xì)胞總數(shù)明顯低于無風(fēng)險組。組間比較:風(fēng)險組較無風(fēng)險組營養(yǎng)指標(biāo)前白蛋白1 d時明顯降低,總蛋白、白蛋白、前白蛋白14 d時明顯降低。組內(nèi)比較:風(fēng)險組14 d時總蛋白、白蛋白、前白蛋白明顯降低,無風(fēng)險組14 d時總蛋白、白蛋白明顯降低。風(fēng)險組相關(guān)并發(fā)癥(吸入性肺炎、嘔吐及腹瀉)共18例,占40.0%,無風(fēng)險組共9例,占16.98%。結(jié)論:本院患者營養(yǎng)風(fēng)險率較高,同時患者接受營養(yǎng)支持應(yīng)用率也相對較高,均以腸內(nèi)營養(yǎng)支持為主,但預(yù)期與實際情況有一定差別。
[Abstract]:Objective: to evaluate the incidence of nutritional risk and nutritional support by investigating the nutritional risk and nutritional support of neurosurgery patients in a third Class A Hospital in Shanxi Province. Methods: from January 2015 to January 2016, 98 severe inpatients of neurosurgery in a third Class A Hospital of Shanxi Province were retrospectively investigated. The nutritional risk was assessed by using 2002(nutrition risk screening NRS 2002. The incidence of nutritional risk and the application of nutritional support within 14 days were analyzed. Results: among 98 patients who met the criteria, the incidence of nutritional risk was 45.91or 45 / 98. The nutritional risk group received the nutritional support rate of 64.44%, and the non-nutritional risk group received the nutritional support rate of 52.83%. Among 98 patients, 57 received nutrition support, and most of the patients received nutrition support alone. The blood glucose in risk group was significantly higher than that in non-risk group, and the total peripheral lymphocyte count was significantly lower than that in non-risk group. Comparison between groups: the nutritional index of the risk group was significantly lower than that of the non-risk group at the 1st day, the total protein, albumin and prealbumin were significantly decreased at the 14th day. Intra-group comparison: the total protein, albumin and prealbumin were significantly decreased in the risk group at 14 d, and the total protein and albumin in the no-risk group at 14 d. There were 18 cases (40.0%) with associated complications (aspiration pneumonia, vomiting and diarrhea) in the risk group, and 9 cases (16.98%) in the non-risk group. Conclusion: the nutritional risk rate of patients in our hospital is higher and the application rate of nutritional support is also relatively high in our hospital. Enteral nutrition support is the main factor, but the expectation is different from the actual situation.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R459.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 唐釗;邱志澤;熊大芾;;腸內(nèi)營養(yǎng)和腸外營養(yǎng)在胃癌術(shù)后的臨床對照研究[J];中外醫(yī)學(xué)研究;2014年01期

2 宋金明;蘇治國;馬敏;于國英;;住院藥房腸內(nèi)營養(yǎng)藥物的應(yīng)用情況分析[J];腸外與腸內(nèi)營養(yǎng);2011年06期

3 馬曉春;丁仁_g;;重癥監(jiān)護(hù)病房嚴(yán)重感染的診治[J];中國實用內(nèi)科雜志;2011年11期

4 沈敏躍;陳軍;;中國腸內(nèi)營養(yǎng)制劑分類研究[J];中華普通外科學(xué)文獻(xiàn)(電子版);2010年02期

5 蔣朱明;鐘紫紅;;營養(yǎng)風(fēng)險、營養(yǎng)不良(不足)與營養(yǎng)支持[J];中國臨床營養(yǎng)雜志;2008年06期

6 蔣朱明;陳偉;朱賽楠;姚晨;營養(yǎng)風(fēng)險及營養(yǎng)支持調(diào)查協(xié)作組;;我國東、中、西部大城市三甲醫(yī)院營養(yǎng)不良(不足)、營養(yǎng)風(fēng)險發(fā)生率及營養(yǎng)支持應(yīng)用狀況調(diào)查[J];中國臨床營養(yǎng)雜志;2008年06期

7 崔麗英;張澍田;于康;陳良安;蔣朱明;朱賽楠;姚明;陳偉;李單青;吳詠冬;梁曉坤;揭彬;王艷;;北京大醫(yī)院住院患者營養(yǎng)風(fēng)險、營養(yǎng)不良(不足)、超重和肥胖發(fā)生率及營養(yǎng)支持應(yīng)用狀況[J];中國臨床營養(yǎng)雜志;2008年06期

8 張海英;關(guān)靜琳;李玉珍;;腸內(nèi)營養(yǎng)的臨床應(yīng)用及其并發(fā)癥[J];藥物不良反應(yīng)雜志;2008年02期

9 朱明煒;;規(guī)范化的圍手術(shù)期腸外和腸內(nèi)營養(yǎng)支持[J];臨床藥物治療雜志;2008年02期

10 謝昭雄;佘佩吟;黃振添;孫衛(wèi)江;盧絳芳;許國平;;腹部大手術(shù)后不同途徑腸內(nèi)營養(yǎng)的應(yīng)用價值[J];現(xiàn)代醫(yī)院;2007年11期

，

本文編號：1953298