Application Of Nutritional Risk Screening And Bmi In Nutritional Assessment Of Patients With Crohn’S Disease

OBJECTIVE:Nutritional risk screening(NRS-2002)and body mass index(BMI)were used to assess the nutritional status of patients with Crohn’s disease.METHOD:Forty-three patients with Crohn’s disease admitted to the First Affiliated Hospital of Chongqing Medical University from September2014 to May 2018 were selected as subjects.NRS-2002 and BMI were used to assess the nutritional status of the entire group of patients,comparing the nutritional status of patients with Crohn’s disease with intestinal fistula and non-intestinal fistula.RESULT:Forty-three patients with Crohn’s disease had a nutritional risk score of≥3 points in 21 cases,the incidence rate was 48.84%(21/43);BMI<18.5kg/m~2 in 9 cases,the incidence rate was 20.93%(9/43).Nine patients with nutritional risk score≥3 points,the incidence rate was 81.81%(9/11);6 patients with BMI<18.5 kg/m~2,the incidence rate was 54.55%(6/11).In patients with non-intestinal fistula,12 patients had a nutritional risk score of≥3,the incidence rate was 37.50%(12/32),and 3 patients with BMI<18.5 kg/m~2,the incidence rate was 9.38%(3/32).The incidence of nutritional risk and malnutrition in patients with intestinal fistula was higher than that in patients with non-intestinal fistula(nutrition risk incidence:81.81%vs37.50%;p<0.05;incidenceofmalnutrition:54.55%vs9.38%;p<0.05).CONCLUSION:Patients with Crohn’s disease have a high incidence of nutritional risk and malnutrition.Patients with Crohn’s disease and intestinal fistula have higher nutritional risk and malnutrition rates than patients with non-intestinal fistula.Therefore,nutritional support for patients with Crohn’s disease during perioperative period should be strengthened,especially in patients with intestinal fistula.