NUTRIC評(píng)分與NRS2002在ICU老年腦卒中病人營(yíng)養(yǎng)風(fēng)險(xiǎn)評(píng)估中的效果比較

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Abstract  Objective：To compare the prognosis of nutritional risk and complications of elderly stroke patients in the neurological intensive care unit（ICU） with NUTRIC Score and NRS 2002.Methods：80 elderly stroke patients who were hospitalized in the ICU of the department of neurology of Henan Provincial People's Hospital from April 2020 to April 2021 were selected as the study subjects.The NRS 2002 and NUTRIC scores of the patients at the time of admission to the ICU were evaluated，and the body mass index（BMI），triceps skinfold thickness（TSF），mid?arm circumference（MAC），serum albumin（ALB），prealbumin（PA） and hemoglobin（Hb） levels of the patients at the time of admission and transfer from the ICU were measured.The patients were divided into malnutrition group（n=31），normal nutrition group（n=49），complication group（n=24） and uncomplicated group（n=56） according to their nutritional status and complications at the time of ICU transfer.NRS 2002 and NUTRIC scores were compared between different groups.ROC curve was used to analyze the diagnostic value of NRS 2002 and NUTRIC scores for nutritional risk.Results：NUTRIC and NRS 2002 scores in malnutrition group were significantly lower than those in normal nutrition group（P<0.05）；NRS2002 score was negatively correlated with BMI，ALB，PA and TSF，while NUTRIC score was negatively correlated with BMI，ALB，PA，TSF，MAC，and Hb（P<0.05）；NUTRIC score had higher sensitivity（96.77%） and specificity（73.47%） in qualitative prediction of malnutrition than NRS 2002 score（87.10%，36.73%，respectively）；The area under the ROC curve of NUTRIC quantitatively predicting malnutrition（0.894） was higher than NRS 2002（0.759）.NUTRIC score in complication group was higher than that in non?complication group（P<0.05），but NRS 2002 score had no statistical difference（P>0.05）.Conclusion：NUTRIC score was better than NRS 2002 scale in predicting nutritional risk and complication risk in elderly stroke patients in ICU of neurology department.

Keywords  Nutrition Risk in Critically Ill Score， NUTRIC； Nutrition Risk Screening 2002， NRS 2002； malnutrition； ICU； stroke；the elderly； nursing

摘要  目的：比較危重癥營(yíng)養(yǎng)評(píng)分（NUTRIC）與營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查量表2002（NRS 2002）對(duì)神經(jīng)內(nèi)科重癥監(jiān)護(hù)室（ICU）老年腦卒中病人營(yíng)養(yǎng)風(fēng)險(xiǎn)及并發(fā)癥的預(yù)后效果。（剩余12443字）