[1]赵泽华,陈楚琳,叶向红,等.不同营养筛查工具在克罗恩病病人术前营养筛查中的应用比较[J].肠外与肠内营养杂志,2024,(02):114-117123.[doi:DOI : 10.16151/j.1007-810x.2024.02.008]
　ZHAO Ze-hua,CHEN Chu-lin,YE Xiang-hong,et al.Comparison of the performance of different nutritional screening tools for preop‐erative patients with Crohn’s disease[J].PARENTERAL & ENTERAL NUTRITION,2024,(02):114-117123.[doi:DOI : 10.16151/j.1007-810x.2024.02.008]
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不同营养筛查工具在克罗恩病病人术前营养筛查中的应用比较()
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2024年02期
页码:
114-117123
栏目:
论著
出版日期:
2024-04-10

文章信息/Info

Title:
Comparison of the performance of different nutritional screening tools for preop‐erative patients with Crohn’s disease
作者:
赵泽华; 陈楚琳; 叶向红; 李 毅
东部战区总医院全军普通外科研究所，江苏南京210002
Author(s):
ZHAO Ze-hua;  CHEN Chu-lin;  YE Xiang-hong;  LI Yi
Research Institute of General Surgery, Nanjing Jingling Hospital, Nanjing 210002, Jiangsu, China
关键词:
克罗恩病 ; 营养不良 ; 筛查 ; 护理评估 ; 外科护理学
Keywords:
Crohn’s disease;  Malnutrition;  Screen;  Nursing assessment;  Surgical nursing
分类号:
R574.62
DOI:
DOI : 10.16151/j.1007-810x.2024.02.008
文献标志码:
A
摘要:
目的：探讨不同营养筛查工具在克罗恩病病人术前营养不良评估中的应用价值。 方法：采用便利抽样法，回顾性分析2021年1月至2022年3月就诊于东部战区总医院普通外科行择期手术的克罗恩病病人资料，了解病人术前营养状况，以营养不良评定（诊断）标准共识（GLIM）为金标准，比较NRS 2002、NS IBD与PNI评分在营养风险筛查中的相关性、差异性及诊断效能。 结果：共纳入212例病人，以GLIM为诊断标准，131例（61.79%）病人出现营养不良；使用NRS 2002评分、NS IBD评分和PNI评分得出营养不良风险的发生率为66.04%、85.38%和55.66%。上述三种评分在 IBD 病人术前营养筛查中的灵敏度分别为 81.46%、85.48%、79.63%，特异度分别为62.36%、54.71%、57.12%，曲线下面积分别为0.749、0.763、0.831。 结论：对于择期手术的克罗恩病病人，三种营养风险筛查工具均能为营养不良风险筛查提供依据。PNI评分条目客观，简洁方便。诊断效能评价中，NS IBD评分灵敏度最高，NRS 2002特异度最好。
Abstract:
Objective: To explore the application value of different nutritional screening tools in the evaluation ofpreoperative malnutrition assessment of Crohn’s patients. Methods: Using the convenient sampling method, aretrospective analysis was conducted on CD patients who underwent elective surgery at the general surgery departmentof General Hospital of Eastern Theater Command from January 2021 to March 2022. The preoperative nutritional statusof the patients was understood. Taking the consensus on malnutrition assessment diagnosis standards (GLIM) as the goldstandard. The correlation, difference and diagnostic efficacy of 3 nutritional risk screening tools were compared.Results: A total of 212 patients were included. Using GLIM as the diagnostic standard, 131 patients (61.79%) hadmalnutrition. The incidence of malnutrition risk was 66.03%, 85.38% and 55.66% using NRS 2002 score, NS IBD scoreand PNI score, respectively. The sensitivities of the above three scores in the preoperative nutritional screening of IBDpatients were 81.46%, 85.48%, 79.63%, respectively; the specificity were 62.36%, 54.71%, 57.12%, respectively; andthe areas under the curve were 0.749, 0.763, 0.831, respectively. In the evaluation of diagnostic efficacy, NS IBD scorehad the highest sensitivity, and NRS 2002 had the best specificity. Conclusion: For patients with Crohn’s diseaseundergoing elective surgery, the three nutritional risk screening tools can provide a basis for malnutrition risk screening.The items of PNI score are objective, concise, and convenient. As for the evaluation of diagnostic efficacy, the NS IBDscore has the highest sensitivity and the NRS 2002 has the best specificity.

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备注/Memo

备注/Memo:
基金项目 ：军事医学创新工程（18CXZ040）作者简介 ：赵泽华，护师，护理学硕士，从事临床营养、危重症护理研究。E-mail:myqzhzh@163.com通讯作者 ：叶向红，E-mail:icuyz@126.com
更新日期/Last Update: 1900-01-01