肺结核住院患者临床营养风险筛查及营养支持状况分析

目的了解肺结核住院患者营养风险的存在情况及营养支持现状。方法采用定点连续抽样，选择2009年3—10月在感染科住院的肺结核患者，使用NRS2002进行营养风险筛查，并调查营养不足、营养风险和营养支持之间的关系。结果在入选的165例患者中，有营养风险者占86．1％，存在营养风险和无营养风险患者的营养支持率分别为2．8％和4．3％；营养不足81例（49．1％），给予营养支持者只有3例（3．7％）。结论肺结核患者存在较高比例的营养风险和营养不足，而需要营养支持的患者大部分没有接受营养支持，不需要营养支持的患者也有一部分接受营养支持，应推广和使用NRS2002营养评定方法和肠外肠内营养指南改善患者营养状况。

Nutritional Risk Screening and Analysis of Nutritional Support in Hospitalized Patients with Pulmonary Tuberculosis

Objective To investigate the prevalence of nutritional risk and nutritional support of hospitalized patient with pulmonary tuberculosis. Methods Adult patients in department of infection of Quzhou people hospital of Zhejiang province from March to October 2009 were consecutively enrolled. Nutrional Risk Screening 2002 （NRS2002）was performed to analysis the relationship among nutritional risk,undemutrition and nutritional support. Results A total of 165 patients were enrolled. The prevalence of nutritional risk was 86.1%,and the undernutrition was 49.1%. 2.8% patients with NRS2002≥3 received nutritional support,and 4.3% patients with NRS2002〈3 received nutritional support. Only 3 patients （3.7%） with undernutrition received nutritional support. Conclusion A large proportion of inpatients with pulmonary tuberculosis were at nutritional risk or undernutrition in the department of infection. The application of nutritional support currently is somehow inappropriate. NRS2002 and parenteral and enteral nutrition guideline are required to improve this situation.