脊髓损伤营养筛查量表和营养不良通用筛查量表在脊髓损伤患者早期康复中的应用比较

Comparison of two malnutrition risk screening tools for spinal cord injured patients with early rehabilitation

中文关键词:  营养不良  脊髓损伤  营养筛查工具

英文关键词:Malnutrition  Spinal cord injuries  Nutrition screening tool

中文摘要:

  【摘要】 目的：评价脊髓损伤营养筛查量表（spinal nutrition screening tool，SNST）和营养不良通用筛查量表（malnutrition universal screening tool，MUST）对脊髓损伤（spinal cord injury，SCI）早期康复治疗患者营养筛查情况，并探讨两种工具临床适用性。方法：采用连续定点抽样方法，选取2016年1月~2016年12月期间入住康复科的脊髓损伤患者共101例，其中男性80例，女性21例，年龄54.1±14.4岁，颈髓节段损伤81例，非颈髓节段损伤20例，使用SNST和MUST两种方法进行营养不良风险评估，比较两种方法评价结果。结果：入组患者营养不良评估中度风险检出率SNST为50例（49.5%）、MUST为45例（44.5%），营养不良评估高度风险检查率SNST为18例（17.8%）、MUST为17例（16.8%），SNST与MUST判定结果的差异不具统计学意义（χ2=1.100，P=0.677）。结论：SCI早期康复治疗患者应用SNST和MUST营养不良风险的检出率较高（＞60%）且无统计学差异，两种工具对SCI早期康复治疗患者均具有适用性。

英文摘要:

  【Abstract】 Objectives: To compare the effects of spinal nutrition screening tool(SNST) and malnutrition universal screening tool(MUST) on spinal cord injury(SCI) patients with early rehabilitationand to assess the value of the two tools. Methods: SCI patients who were enrolled in the department of rehabilitation from January 2016 to December 2016 were selected by using successive sampling method, with an avrage of 54.1±16.9 years, including 80 males and 21 females, 81 cases of cervical SCI and 20 cases of non-cervical SCI, Malnutrition risk of these patients was evaluated by SNST and MUST respectively in order to compare the values of the two nutrition evaluation methods. Results: Among the 101 patients selected, the proportion of medium risk screened out by SNST was 49.5% and by MUST was 44.5%, the proportion of high risk screened out by SNST was 17.8% and by MUST was 16.8%. There was no statistical difference between MUST and SNST (χ2=1.100, P=0.677). Conclusion: There is a high prevalence(＞60%) of malnutrition in SCI patients with early rehabilitation and no statistical difference between MUST and SNST, both are applicable for SCI patients.