临床普外科电子杂志 ›› 2024, Vol. 12 ›› Issue (4): 11-.

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微型营养评定简表在围手术期老年患者营养风险筛查中的应用

  

  1. 1. 阳江市人民医院 神经外一科,广东 阳江 529500;2. 阳江市人民医院 肝病内科,广东 阳江 529500;3. 阳江市人民医院 康复科,广东 阳江 529500;4. 阳江市人民医院 烧伤整形创面修复科,广东 阳江 529500;5. 阳江市人民医院 胃肠外科,广东 阳江 529500
  • 出版日期:2024-10-01 发布日期:2024-12-25
  • 基金资助:

    广东省阳江市医疗卫生科技计划项目(SF2022051)

Application of mini-nutritional assessment short-form in nutritional risk screening of elderly patients during perioperative period

  1. 1. Neurosurgery Department of Yangjiang People's Hospital, Guangdong Yangjiang 529500, China; 2 Hepatology Department of Yangjiang People's Hospital, Guangdong Yangjiang 529500, China; 3. Rehabilitation Department of Yangjiang People's Hospital, Guangdong Yangjiang 529500, China; 4. Department of Burn Plastic Surgery and Wound Repair, Yangjiang People's Hospital, Guangdong Yangjiang 529500, China;5. Gastrointestinal Surgery Department of Yangjiang People's Hospital, Guangdong Yangjiang 529500, China
  • Online:2024-10-01 Published:2024-12-25

摘要:

目的 观察微型营养评定简表(mini-nutritional assessment short-form,MNA-SF)在围手术期的老年患者中的应用效果。方法 选取 2022 年 7 月至 2023 年 10 月阳江人民医院的胃癌根治术患者 100 例,使用数字随机法将所选患者分为对照组和试验组,每组 50 例。试验组所有患者均在入院 24h 内进行 MNASF营养风险筛查,对有营养不良风险的患者术前给予肠内 + 肠外营养干预。对照组所有患者在入院 24h 内采用营养风险筛查 2002(nutritional risk screening 2002, NRS2002)进行营养风险筛查,对有营养不良风险的患者术前给予肠内 + 肠外营养干预。对比两组患者营养风险筛查的阳性率及术后康复情况。结果 试验组老年患者进行营养风险筛查的阳性率高于对照组,差异有显著性(P < 0.05)。试验组患者的术后下床时间、伤口愈合时间、住院时间比对照组更短,术后并发症发生率更低,差异均有显著性(P < 0.05)。结论 MNA-SF 通过提供一个简单而全面的评估框架,有助于早期发现老年患者的营养问题并提早干预,有利于促进患者的康复。

关键词: 微型营养评定简表, 围手术期, 老年患者, 营养风险

Abstract:

Objective To observe the application eff ect of the mini-nutritional assessment short-form (MNA-SF) in elderly patients during the perioperative period. Method 100 patients who underwent radical gastrectomy for gastric cancer at Yangjiang People's Hospital from July 2022 to October 2023 were selected. The selected patients were randomly divided into a control group and an experimental group, with 50 patients in each group. All patients in the experimental group underwent MNA-SF nutritional risk screening within 24 hours of admission, and patients at risk of malnutrition were given enteral and parenteral nutrition interventions before surgery. All patients in the control group were screened for nutritional risks using the nutritional risk screening 2002(NRS2002) within 24 hours of admission. Patients at risk of malnutrition were given enteral and parenteral nutrition interventions before surgery. Compare the positive rate of nutritional risk screening and postoperative recovery status between two groups of patients. Result The positive detection rate of nutritional risk screening in the experimental group of elderly patients was higher than that in the control group, and the diff erence was signifi cant (P < 0.05). The experimental group had a shorter postoperative time to get out of bed, wound healing time, and hospitalization time compared to the control group, and a lower incidence of postoperative complications, with signifi cant diff erences (P < 0.05). Conclusion MNA-SF provides a simple and comprehensive assessment framework, which helps to detect nutritional problems in elderly patients early and intervene early, promoting patient recovery.

Key words: Mini-nutritional assessment short-form, Perioperative period, Elderly patients, Nutritional risk