| In order to give scientific basis for clinical nutritional therapy and general treatment, we assessed the nutritional status of inpatients in Shanghai Changhai Hospital from October 2001 to December 2002.1 Nutritional assessment of 1700 inpatientsObjective The aim of this part was to propose an ideal nutrition therapy program by assessing the nutritional status of patients.Methods 1700 patients including 978 cases with the male and 722 cases with the female were divided into 3 groups by BMI: over nutrition group(BMI24); normal nutrition group(18.5BMI23.9); under nutrition group(BMI18.5). Their nutritional status was evaluated by the physical examination and the biochemical assay. Results The overnutritional patients and undernutritional patients accounted for 27.94 % and 18.65 % of all the inpatients studied, respectively. The over nutrition rate in male(31.9 %) was significantly higher than that in female(23.55 %), otherwise, the under nutrition rate in male(16.36 %) was lower than that in female(21.74 %). The nutritional status had positive correlation with the abnormal rates of TSF, MAMC, TP, A, PA and HGB. The undernutritional patients whose TSF and MAMC were under 80 % of the normal accounted for 74.45% and 81.07 %, respectively, which were significantly higher than 9.26 % and 7.16 % of the overnutritional patients. Conclusion The incidence of malnutrition patients was as high as 46.59 %. In order to accelerate recovery and improve prognosis of patients, it is necessary for us to assess the nutritional status of patients and establish the nutritional therapy plan in time.2 To compare the nutritional status of general surgical inpatients between at admission and after operationObjective The aim of this part was to compare the nutritional status of general surgical inpatients between at admission and the 7th day after operation, and to identify the reasons for affecting the nutritional status of inpatients after operation. Methods 491 general surgical inpatients including 309 cases with the male and 182 cases with the female were evaluated within three days at admission and the 7th day after surgical operation, respectively. Results The undernutritional inpatients accounted for 39.10 % after operation, which was predominantly higher than 27.29 % of that at admission. Meanwhile, the ovemutritional inpatients only accounted for 15.48 %, which was lower than 20.98 % of that at admission. There were 27 cases whose nutritional status were from over nutrition to normal nutrition and 31 cases from normal nutrition to under nutrition after opertation. Moreover, there were 15 cases whoes BMI increased, 24 cases didn't change, and 452 cases declined after opertation. The values of GS, TSF, AMC and MAMC were lower significantly after opertation than those at admission.The serum TP, A, G, PA and RGB reduced notably after opertation, too.Conclusion The nutritional status of general surgical inpatients after operation was worse than that at admission, and it was advised that nutritionists should provide nutritional therapy timely.3. Preoperative nutritional status and its prognostic effect on patients with general surgical diseasesObjective The aim of this part was to assess preoperative nutritional status and its prognostic effect on patients with general surgical diseases.Methods 491 patients including 309 cases with the male and 182 cases with the female were divided into 3 groups by BMI: over nutrition group(BMI:24); normal nutrition group(18.5BMI 23.9); under nutrition group(BMI<18.5). Relationship between BMI and prognosis was observed. According to the serum albumin, all inpatients were divided into 2 groups: hypoalbuminemia group(A<35g/L) and hyperalbuminemia group(A35g/L). Relationship between serum albumin and prognosis was also observed. Results The incidence of the postoperative complications and mortality were 11.94 % and 5.22 % in low BMI group and 10.68 % and 2.91 % in high BMI group, which were higher than that in normal nutrition group(2.76 % and 0.39 %). The consequences of lowBMI and high B...
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