营养筛查与评估工具历史回顾与临床应用

doi:10.3969/j.issn.1009-976X.2021.01.002

摘要/Abstract

摘要： 普通外科围手术期营养治疗对提高手术安全性、加速病人康复、减少手术后并发症、提高社会效益等具有重要意义。本文回顾临床营养筛查与营养状况评估工具的历史、深入解读各种工具开发背景及适应证,旨在指导临床医生规范化实施营养治疗。

Abstract: Nutritional therapy of perioperative patients in general surgery has great significance for enhancing the safety, recovery, reducing the complications of the surgery, and improving social benefits. This article introduces the history of nutritional screening and assessment tools, and then interpretates deeply their development background and indications, which conducts doctors to implement nutritional treatments on normalization.

Key words: general surgery, perioperative period, nutritional tool

中图分类号:

R151

董明. 营养筛查与评估工具历史回顾与临床应用[J]. 岭南现代临床外科, 2021, 21(01): 6-10.

DONG Ming. Historical review and clinical application of nutrition screening and assessment tools[J]. Lingnan Modern Clinics In Surgery, 2021, 21(01): 6-10.

参考文献

[1] 中华医学会外科学分会结直肠外科学组. 结直肠癌围手术期营养治疗中国专家共识(2019版)[J]. 中国实用外科杂志, 2019, 39(6): 533-537.
[2] Lindeman CA.Delphi survey of priorities in clinical nursing research[J]. Nurs Res, 1975, 24(6): 434-441.
[3] Cederholm T, et al.Diagnostic criteria for malnutrition-An ESPEN Consensus Statement[J]. Clin Nutr, 2015, 34(3): 335-340.
[4] Wischmeyer PE, Carli F, Evans DC, et al.American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway[J]. Anesth Analg, 2018, 126(6): 1883-1895.
[5] Burden ST, Hill J, Shaffer JL, et al.Nutritional status of preoperative colorectal cancer patients[J]. J Hum Nutr Diet, 2010, 23(4): 402-407.
[6] Williams JD, Wischmeyer PE.Assessment of perioperative nutrition practices and attitudes-A national survey of colorectal and GI surgical oncology programs[J]. Am J Surg, 2017, 213(6): 1010-1018.
[7] Thomas MN, Kufeldt J, KisserU, et al. Effects of malnutrition on complication rates, length of hospital stays, and revenue in elective surgical patients in the G-DRG-system[J]. Nutrition, 2016, 32(2): 249-254.
[8] Gillis C, Nguyen TH, Liberman AS, et al.Nutrition adequacy in enhanced recovery after surgery: a single academic center experience[J]. Nutr Clin Pract, 2015, 30(3): 414-419.
[9] 石汉平, 李薇, 齐玉梅, 曹伟新. 营养筛查与评估 [M]. 北京:人民卫生出版社, 2014
[10] Kondrup J, Rasmussen HH, Hamberg O, et al.Nutritional risk screening (NRS 2002): a new method based on analysis of controlled clinical trials[J]. Clin Nutr, 2003, 22(3): 321-336.
[11] Detsky AS, McLaughlin JR, Baker JP, et al. What is subjective global assessment of nutritional status?[J]. JPEN, 1987, 11(1): 8-13.
[12] Ottery FD.Rethinking nutritional support of the cancer patient: The new field of nutritional oncology[J]. Semin Oncol, 1994, 21(6): 770-778.
[13] Jensen GL, Cederholm T, Correia, MITD, et al.GLIM Criteria for the Diagnosis of Malnutrition: A Consensus Report from the Global Clinical Nutrition Community[J]. JPEN, 2019, 43(1): 32-40.
[14] Guigoz Y, Vellas B, Garry PJ.Mini Nutritional Assessment: a practical assessment tool for grading the nutritional state of elderly patients[J]. Facts Res Gerontol, 1994, (suppl 2): 15-59.
[15] Vellas B, Guigoz Y, Garry PJ, et al.The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients[J]. Nutrition, 1999, 15(2): 116-122.
[16] 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.
[17] Schutz Y, Kyle UUG, Pichard C.Fat-free mass index and fat mass index percentiles in Caucasians aged 18-98y[J]. Int J Obes Relat Metab Disord, 2002, 26(7): 953-960.
[18] Vaid S, Bell T, Grim R, et al.Predicting risk of death in general surgery patients on the basis of preoperative variables using American College of Surgeons National Surgical Quality Improvement Program data[J]. Perm J, 2012, 16(4): 10-17.
[19] Kruizenga HM, Seidell JC, de Vet HC, et al. Development and validation of a hospital screening tool for malnutrition: the short nutritional assessment questionnaire (SNAQ)[J]. Clin Nutr, 2005, 24(1):75-82.
[20] Cederholm T, Jensen G.To create a consensus on malnutrition diagnostic criteria: A report from the Global Leadership Initiative on Malnutrition (GLIM) meeting at the ESPEN Congress 2016[J]. Clin Nutr, 2017, 36(1): 7-10
[21] Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al.Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People[J]. Age Ageing, 2010, 39(4): 412-423.
[22] Yin L, Lin X, Li N, et al.Evaluation of the Global Leadership Initiative on Malnutrition Criteria Using Different Muscle Mass Indices for Diagnosing Malnutrition and Predicting Survival in Lung Cancer Patients[J]. JPEN, 2020.
[Online ahead of print].
[23] Ho JW, Wu AH, Lee MW, et al.Malnutrition risk predicts operations: Results of a prospective study[J]. Clin Nutr, 2015, 34(4): 679-684.