目的：应用营养风险筛查（NRS）2002对老年糖尿病肾病（DN）住院患者进行营养筛查，了解其营养不良的患病率，以确定营养干预的重点人群。方法采用 NRS2002、同时测定体质量指数（BMI）及血清白蛋白（ALB）、前白蛋白（PA）、血肌酐（SCr）等生化指标，对168例老年糖尿病肾病住院患者进行营养评估，评价其营养状况，并进行相关性分析。结果168例老年糖尿病肾病患者中，NRS2002评分≥3分存在营养不良风险者51例（30．4％），DN Ⅴ期患者营养不良风险发生率最高达62．5％，与 DN Ⅲ期20．5％比较，差异有统计学意义（P ＜0．05）；BMI ＜18．5 kg／m2者18例，营养不良的发生率为10．7％，ALB ＜30 g／L 患者27例，营养不良的发生率为16．1％，NRS2002评分与 BMI、ALB、PA、SCr 有相关关系（P ＜0．05）。结论老年糖尿病肾病患者营养不良的发生率高，NRS2002是一种简单、有效的营养评估方法，能够早期发现存在营养不良风险的患者。%Objective To investigate the prevalence of malnutrition based on nutritional screening among elder-ly hospitalized patients with diabetic nephropathy (DN)by Nutritional risk screening 2002 (NRS),to determine the emphasis crowd of nutritional intervention.Method The nutritional status of 1 68 cases elderly hospitalized patients with DN were assessed by NRS2002,body mass index (BMI),serum albumin(ALB),prealbumin(PA),serum creatinine (SCr)etc biochemical index.Results There were 51 cases (30.4%)with malnutrition risks (NRS2002 score ≥3 points)among 1 68 cases of elderly patients with diabetic nephropathy.The malnutrition prevalence of DN Ⅴ patients was the highest,by 62.5%,significantly higher than DN Ⅲ patients group (20.5%),the difference was statistically significant (P <0.05).There were 1 8 cases with BMI <1 8.5 kg/m2 ,the prevalence of malnutrition was 1 0.7%.There were 27 patients with ALB <30 g/L,the prevalence of malnutrition was1 6.1 %.NRS2002 is associated(P <0.05)with body mass index (BMI),albumin (ALB),prealbumin (PA)and serum creatinine (SCr).Conclusions The preva-lence of malnutrition is high in elderly patients with diabetic nephropathy.NRS2002 is a simple and efficient method of nutritional assessment elderly patients with diabetic nephropathy.
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