结肠造口患者的快速营养筛查研究进展_West China Medical Journal

Authors：

何凌霄 ¹ ,  宁宁 ² , 刘春娟 ³ , 王雅琴 ¹ , 吕娟 ¹

Corresponding author：

宁宁, Email: helx1026@163.com

Keywords：

结肠造口; 营养风险; 营养筛查

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结肠造口患者因其存在营养不良风险而导致机体愈合减慢等特点受到临床医护人员的高度重视，如何能够快速了解结肠造口患者的营养状况，已成为临床研究的重要课题。为了帮助医护人员有效地了解及选择相关营养筛查工具，我们在广泛查阅文献基础上，就国内外目前营养筛查工具的研究进展及优缺点进行比较与分析，以期为临床工作者提供参考依据。

Citation： 何凌霄,宁宁,刘春娟,王雅琴,吕娟. 结肠造口患者的快速营养筛查研究进展. West China Medical Journal, 2012, 27(3): 475-478. doi: Copy

1.	喻德洪. 结肠造口术与术后效能的提高[J]. 中国实用外科杂志, 1997, 17(5) : 263-265.
2.	尹跃华, 侯妍妍. 直肠癌结肠造口患者知识需求的调查与分析[J]. 护理管理杂志, 2006, 6(2): 13-17.
3.	Saunders J, Smith T. Malnutrition: causes and consequences[J]. Clin Med, 2010, 10(6): 624-627.
4.	Hartman C, Eliakim R, Shamir R. Nutritional status and nutritional therapy in inflammatory bowel diseases[J]. World J Gastroenterol, 2009, 15(21): 2570-2578.
5.	杨南竹, 曹丽萍. 结、直肠癌患者术前营养风险筛查及术后复测[J]. 中国临床营养杂志, 2007, 15(5): 281-284.
6.	喻姣花, 谭翠莲, 黄海燕, 等. 胃及结直肠癌患者围术期营养状况调查分析[J]. 护理学杂志, 2006, 21(18): 69-70.
7.	Barendregt K, Soeters PB, Allison SP, et al. Basic concepts in nutrition: Diagnosis of Malnutrition-Screening and assessment[J]. Euro e-J Clin Nutri and Metabo, 2008, 3(3): 121-125.
8.	Barker LA, Gout BS, Crowe TC. Hospital Malnutrition: Prevalence, identification and impact on patients and the healthcare system[J]. Int J Environ Res Public Health, 2011, 8(2): 514-527.
9.	Kondrup J, Rasmussen HH, Hamberg O, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlledc linical trials[J]. Clin Nutr, 2003, 22(3): 321-336.
10.	Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for nutrition screening 2002[J]. Clin Nutr, 2003, 22(4): 415-421.
11.	Johansen N, Kondrup J, Plum LM, et al. Effect of nutritional support on clinical outcome in patients at nutritional risk[J]. Clin Nutr, 2004, 23(4): 539-550.
12.	Jiang ZM, Chen W, Zhan WH, et al. Parenteral and enteral nutrition application in west, middle and east China: a multi-center investigation for 15098 patients in 13 metropolitans using Nutritional Risk Screening 2002 tool (abstract)[J]. Clin Nutr, 2007, 2 (Supplement 2): 133-134.
13.	周建春, 赵孝杰, 彭启平. 欧洲营养不良风险筛查方法在基层医院住院病人的临床可行性研究[J]. 肠内与肠外营养, 2009, 16(4): 219-221.
14.	蒋朱明, 陈伟, 张澍田. 中国11个城市大医院6个临床专科5303例住院患者营养风险筛查(期中小结摘要) [J]. 中国临床营养杂志, 2006, 14(4): 263.
15.	常艳, 郑文郁, 陈鄢津, 等. 应用营养风险筛查2002方法对天津市三级甲等医院住院患者营养风险、营养不足筛查、营养支持情况调查[J]. 中华临床营养杂志, 2010, 18(5): 272-275.
16.	陈伟, 蒋朱明, 张咏梅, 等. 欧洲营养风险调查方法在中国住院患者的临床可行性研究[J]. 中国临床营养杂志, 2005, 13(3): 137-141．.
17.	陈春明. 中国成人体质指数分类的推荐意见简介[J ]. 中华预防医学杂志, 2002, 35(5) : 349 - 350.
18.	Stratton RJ, Hackston A, Longmore D, et al. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the‘malnutrition universal screening tool’ (‘MUST’) for adults[J]. Br J Nutr, 2004, 92(5): 799–808.
19.	Ahmed T, Haboubi N. Assessment and management of nutrition in older people and its importance to health[J]. Clin Interv Aging, 2010, 5: 207-216.
20.	Todorovic V, Russell C, Stratton R, et al. The‘MUST, explanatory booklet; a guide to the malnutrition universal screening tool (MUST) for adults[EB/OL]（2003）[2011-10-26]. http://www.bapen.org.uk/pdfs/must/must_explan.pdf.
21.	傅晓瑾, 路潜. 三种营养筛查工具在外科术前患者中的应用[J]. 中国临床营养杂志, 2008, 16(6): 353-356.
22.	Vellas B, Guigoz Y, Garry PJ. The mini nutritional assessment (MNA) and its use in grading the nutritional state of elderly patients[J]. Nutrition, 1999,15(2):116-122.
23.	Anthony PS. Nutrition Screening Tools for Hospitalized Patients[J]. Nutr Clin Pract, 2008, 23(4): 373-382.
24.	Vedantam A, Subramanian V, Rao NV, et al. Malnutrition in free-living elderly in rural south India: prevalence and risk factors[J].Public Health Nutr, 2010, 13(9): 1328-1332.
25.	Bauer JM, Vogl T, Wicklein S, et al. Comparison of the mini nutritional assessment, subjective global assessment, and nutritional risk screening (NRS 2002) for nutritional screening and assessment in geriatric hospital patients[J]. Z Gerontol Geriatr, 2005, 38(5): 322-327.
26.	吴萍, 卞大荣. 微型营养评价法与主观全面评价法的比较[J]. 同济大学学报·医学版, 2009, 30(3): 125-128.
27.	Rubenstein LZ, Harker JO, Salva A, et al. Screening for undernutrition in geriatric practice: developing the short-form Mini Nutritional Assessment (MNA- SF)[J]. J Gerontol A Biol Sci Med Sci, 2001, 56(6): 366-372.
28.	Watterson C, Fraser A, Banks M, et al. Evidence based practice guidelines for the nutritional management of malnutrition in adult patients across the continuum of care[J]. Nutrition & Dietetics, 2009, 66(Suppl 3): 1-34.
29.	Kim JY, Wie GA, Cho YA, et al. Development and validation of a nutrition screening tool for hospitalized cancer patients[J]. Clin Nutr, 2011, 30(6): 724-729.
30.	Repetto L, Fratino L, Audisio RA, et al. Comprehensive geriatric assessment adds information to Eastern Cooperative Oncology Group performance status in elderly cancer patients: an Italian Group for Geriatric Oncology Study[J]. J Clin Oncol, 2002, 20(2): 494-502.

1. 　喻德洪. 结肠造口术与术后效能的提高[J]. 中国实用外科杂志, 1997, 17(5) : 263-265.
2. 　尹跃华, 侯妍妍. 直肠癌结肠造口患者知识需求的调查与分析[J]. 护理管理杂志, 2006, 6(2): 13-17.
3. 　Saunders J, Smith T. Malnutrition: causes and consequences[J]. Clin Med, 2010, 10(6): 624-627.
4. 　Hartman C, Eliakim R, Shamir R. Nutritional status and nutritional therapy in inflammatory bowel diseases[J]. World J Gastroenterol, 2009, 15(21): 2570-2578.
5. 　杨南竹, 曹丽萍. 结、直肠癌患者术前营养风险筛查及术后复测[J]. 中国临床营养杂志, 2007, 15(5): 281-284.
6. 　喻姣花, 谭翠莲, 黄海燕, 等. 胃及结直肠癌患者围术期营养状况调查分析[J]. 护理学杂志, 2006, 21(18): 69-70.
7. 　Barendregt K, Soeters PB, Allison SP, et al. Basic concepts in nutrition: Diagnosis of Malnutrition-Screening and assessment[J]. Euro e-J Clin Nutri and Metabo, 2008, 3(3): 121-125.
8. 　Barker LA, Gout BS, Crowe TC. Hospital Malnutrition: Prevalence, identification and impact on patients and the healthcare system[J]. Int J Environ Res Public Health, 2011, 8(2): 514-527.
9. 　Kondrup J, Rasmussen HH, Hamberg O, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlledc linical trials[J]. Clin Nutr, 2003, 22(3): 321-336.
10. 　Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for nutrition screening 2002[J]. Clin Nutr, 2003, 22(4): 415-421.
11. 　Johansen N, Kondrup J, Plum LM, et al. Effect of nutritional support on clinical outcome in patients at nutritional risk[J]. Clin Nutr, 2004, 23(4): 539-550.
12. 　Jiang ZM, Chen W, Zhan WH, et al. Parenteral and enteral nutrition application in west, middle and east China: a multi-center investigation for 15098 patients in 13 metropolitans using Nutritional Risk Screening 2002 tool (abstract)[J]. Clin Nutr, 2007, 2 (Supplement 2): 133-134.
13. 　周建春, 赵孝杰, 彭启平. 欧洲营养不良风险筛查方法在基层医院住院病人的临床可行性研究[J]. 肠内与肠外营养, 2009, 16(4): 219-221.
14. 　蒋朱明, 陈伟, 张澍田. 中国11个城市大医院6个临床专科5303例住院患者营养风险筛查(期中小结摘要) [J]. 中国临床营养杂志, 2006, 14(4): 263.
15. 　常艳, 郑文郁, 陈鄢津, 等. 应用营养风险筛查2002方法对天津市三级甲等医院住院患者营养风险、营养不足筛查、营养支持情况调查[J]. 中华临床营养杂志, 2010, 18(5): 272-275.
16. 　陈伟, 蒋朱明, 张咏梅, 等. 欧洲营养风险调查方法在中国住院患者的临床可行性研究[J]. 中国临床营养杂志, 2005, 13(3): 137-141．.
17. 　陈春明. 中国成人体质指数分类的推荐意见简介[J ]. 中华预防医学杂志, 2002, 35(5) : 349 - 350.
18. 　Stratton RJ, Hackston A, Longmore D, et al. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the‘malnutrition universal screening tool’ (‘MUST’) for adults[J]. Br J Nutr, 2004, 92(5): 799–808.
19. 　Ahmed T, Haboubi N. Assessment and management of nutrition in older people and its importance to health[J]. Clin Interv Aging, 2010, 5: 207-216.
20. 　Todorovic V, Russell C, Stratton R, et al. The‘MUST, explanatory booklet; a guide to the malnutrition universal screening tool (MUST) for adults[EB/OL]（2003）[2011-10-26]. http://www.bapen.org.uk/pdfs/must/must_explan.pdf.
21. 　傅晓瑾, 路潜. 三种营养筛查工具在外科术前患者中的应用[J]. 中国临床营养杂志, 2008, 16(6): 353-356.
22. 　Vellas B, Guigoz Y, Garry PJ. The mini nutritional assessment (MNA) and its use in grading the nutritional state of elderly patients[J]. Nutrition, 1999,15(2):116-122.
23. 　Anthony PS. Nutrition Screening Tools for Hospitalized Patients[J]. Nutr Clin Pract, 2008, 23(4): 373-382.
24. 　Vedantam A, Subramanian V, Rao NV, et al. Malnutrition in free-living elderly in rural south India: prevalence and risk factors[J].Public Health Nutr, 2010, 13(9): 1328-1332.
25. 　Bauer JM, Vogl T, Wicklein S, et al. Comparison of the mini nutritional assessment, subjective global assessment, and nutritional risk screening (NRS 2002) for nutritional screening and assessment in geriatric hospital patients[J]. Z Gerontol Geriatr, 2005, 38(5): 322-327.
26. 　吴萍, 卞大荣. 微型营养评价法与主观全面评价法的比较[J]. 同济大学学报·医学版, 2009, 30(3): 125-128.
27. 　Rubenstein LZ, Harker JO, Salva A, et al. Screening for undernutrition in geriatric practice: developing the short-form Mini Nutritional Assessment (MNA- SF)[J]. J Gerontol A Biol Sci Med Sci, 2001, 56(6): 366-372.
28. 　Watterson C, Fraser A, Banks M, et al. Evidence based practice guidelines for the nutritional management of malnutrition in adult patients across the continuum of care[J]. Nutrition & Dietetics, 2009, 66(Suppl 3): 1-34.
29. 　Kim JY, Wie GA, Cho YA, et al. Development and validation of a nutrition screening tool for hospitalized cancer patients[J]. Clin Nutr, 2011, 30(6): 724-729.
30. 　Repetto L, Fratino L, Audisio RA, et al. Comprehensive geriatric assessment adds information to Eastern Cooperative Oncology Group performance status in elderly cancer patients: an Italian Group for Geriatric Oncology Study[J]. J Clin Oncol, 2002, 20(2): 494-502.

West China Medical Journal

结肠造口患者的快速营养筛查研究进展

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