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| 胃癌手术患者营养风险筛查及营养支持现况分析 |
| A screening of nutrition risk and analysis of nutrition support status in gastric carcinoma patients undergoing operation |
| 投稿时间：2015-04-20 修订日期：2015-06-07 |
| DOI：10.3969/j.issn.1000-0399.2015.010.003 |
| 中文关键词: 胃癌 营养风险筛查 营养支持 营养状况 |
| 英文关键词: Gastric carcinoma Nutritional risk screening Nutrition support Nutrition state |
| 基金项目:安徽省高校省级自然科学基金项目(项目编号:KJ2012Z195) |
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| 中文摘要: |
| 目的 分析胃癌手术患者营养风险发生及其营养支持现状,为规范化营养支持提供指导。方法 对2014年2月至2014年7月150例胃癌住院患者术前采用NRS-2002营养风险筛查简表评估其术前营养风险状况。检测患者入院第1~2天和术后第7~10天的体质量、血红蛋白、血清总蛋白、血清清蛋白、血清前清蛋白、白细胞计数、淋巴细胞计数等营养指标以及调查其营养支持情况。结果 150例胃癌患者中,术前有营养不良者72例(占48%),无营养不良者78例(占52%);有营养风险者81例(54%),其中采取营养支持者66例(81.48%),无营养风险者69例(46%),其中采取营养支持者57例(82.61%)。患者术后营养指标除血红蛋白及血清前清蛋白外其他营养指标较术前差异均有统计学意义(P均<0.05)。结论 胃癌手术患者营养不良发生率及有营养风险者比例较高,临床医生对其营养支持不够规范,需采取规范的临床营养风险评估和基于证据的临床营养支持以改善营养状况。 |
| 英文摘要: |
| Objective To analyze the nutrition risk and status of nutrition support, further to offer guidance for regularizing nutrition support. Methods We pre-operationally used Nutritional Risk Screening Scale(NRS)-2002 to estimate nutrition risk and investigated current nutrition support situation of the 150 gastric carcinoma patients recruited between February 2014 and July 2014. Additionally, we detected the nutritive index, such as weight, level of hemoglobin(Hb), serum total protein(Tp), albumen, pre-albumin, and white blood cell(WBC), lymphocyte count of the patients 1 or 2days pre-operationally and 7 to 10 days post-operationally. Results 72 patients presented malnutrition, accounting for 48% of the total. 81(54%) patients had nutrition risk, of whom only 81.48%(66) had nutrition support. On the contrary, 69(46%) had no nutrition risk, and 82.61%(57) of the patients adopted nutrition support. Among the nutritive index, after operation, except Hb and pre-albumin, which showed no statistical change, weight, Tp, albumen, WBC and lymphocyte count decreased compared with those of pre-operation. Conclusion The incidence of malnutrition and proportion of patient with nutrition risk are high. Nutrition support has not been implemented regularly by surgeons. It is necessary to carry out normative clinical nutritional risk estimation and evidence-based nutrition support to improve nutrition status. |
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