Abstract
Objective To explore the application effect of malnutrition risk screening table 2002(Nutritional Risk Screening, NRS 2002) in patients undergoing hepatobiliary surgery at grade 3 and grade 4. Methods From January to October 2017, 213 hospitalized patients undergoing grade 4 surgery in hepatobiliary surgery under general anesthesia were selected and NRS 2002 was used to analyze the malnutrition risk status of the patients.According to NRS 2002, 75 patients with malnutrition risk were screened out and divided into the control group (37 cases) and the experimental group (38 cases) according to the random double-blind principle. The control group received routine nutritional support, that was, doctors gave nutritional support based on experience, while the experimental group received nutritional support based on screening results.The changes of nutritional indexes(hemoglobin, transferrin, prealbumin and lymphocyte count) in the two groups were observed, and the hospitalization time and hospitalization expenses in the two groups were recorded. Results There were 75 cases at risk of malnutrition in 213 cases surgical patients.There was no significant difference in malnutrition risk between the two genders(P>0.05). There was a statistically significant difference in malnutrition risk between patients aged 60 years or older and those aged less than 60 years(P<0.05). The malnutrition risk of patients undergoing grade 3 surgery and grade 4 surgery was compared, and the difference was statistically significant(P<0.05). The hemoglobin, transferrin, prealbumin and lymphocyte count in the experimental group were higher than those in the control group, and the differences were statistically significant(P<0.05). The hospitalization time and hospitalization expenses in the experimental group were lower than those in the control group, and the differences were statistically significant(P<0.05). Conclusion NRS 2002 is an effective tool for screening malnutrition risk in patients undergoing hepatobiliary surgery at grade 3 and grade 4. Therefore, it is more effective to guide patients undergoing surgery at grade 3 and grade 4 to receive nutritional support, shorten hospitalization time and reduce hospitalization cost. Key words: Nutrition risk screening 2002; Department of hepatobiliary surgery; Patients undergoing grade 3and 4 surgery; Effect
Published Version
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