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目的调查老年T2DM患者营养风险、营养不良(不足)、超重/肥胖发生率,比较营养风险筛查2002(NRS2002)和简易营养评价(MNA)用于住院老年T2DM患者营养筛查的结果。方法采用连续定点抽样,对于符合入选标准且获知情同意的268例老年T2DM患者在入院次日晨分别采用NRS2002和MNA进行营养筛查。结果 268例患者全部完成NRS2002和MNA。用BMI中国标准判定营养不足、超重和肥胖的发生率分别为7.8%、34.7%和12.0%;NRS2002筛查显示营养风险发生率为30.2%,MNA筛查显示营养不足发生率为33.2%,两种方法筛查的结果差异无显著性意义(P=0.458)。结论 NRS2002和MNA均适用于老年T2DM患者的营养筛查。NRS2002更简便易行,可操作性更强。
Objective To investigate nutritional risk, malnutrition (inadequate), prevalence of overweight / obesity, nutritional risk screening 2002 (NRS2002) and simple nutritional assessment (MNA) in elderly patients with T2DM for nutritional screening in hospitalized elderly patients with T2DM. Methods Using continuous sampling, 268 elderly T2DM patients who met the inclusion criteria and were given informed consent were screened for nutrition by NRS2002 and MNA on the morning of admission. Results All 268 patients completed NRS2002 and MNA. The prevalence of undernutrition, overweight and obesity was judged as 7.8%, 34.7% and 12.0% respectively using the BMI Chinese standard. The NRS2002 screening showed a nutritional risk of 30.2%, the MNA screening showed a prevalence of undernutrition of 33.2% There was no significant difference in the results of screening (P = 0.458). Conclusion Both NRS2002 and MNA are suitable for nutritional screening in elderly patients with T2DM. NRS2002 easier and more operability.