食管癌住院患者术前营养风险筛查与分析

    The investigation and analysis of the preoperative nutrition risk of patients with esophageal cancer

    • 摘要: 目的:筛查食管癌(EC)住院患者术前营养风险(NR),并探讨NR与临床特征的关系。方法:采用营养风险筛查2002(NRS 2002)对80例EC住院患者进行术前NR筛查,并与临床特征进行分析。结果:80例EC住院患者中,NR发生率为80.0%。存在NR的64例EC患者中,60岁占65.6%,60岁占34.4%,早中晚期分别占1.6%、78.1%和20.3%,差异均有统计学意义(P0.05和P0.01)。NR与性别、病变部位、病理类型、组织学分化程度间差异均无统计学意义(P0.05)。结论:EC患者术前NR发生率较高,与年龄、病理分期存在一定关系。

       

      Abstract: Objective: To screen the preoperative nutrition risks of patients with esophageal cancer (EC) ,and discuss the correlation between the nutrition risk(NR) and clinical features. Methods: The preoperative NR and correlation between NR and clinical features of 80 cases with EC were analyzed using the Nutritional Risk Screening 2002 (NRS 2002) . Malnutrition was determined according to the body mass index of Chinese standard (lowered than 18. 5 kg /m2 ) and clinical data,which was recorded as 3 points. Results: Of the 80 EC patients who were evaluated by NRS 2002,64 patients (80. 0%) were judged at malnutrition risk,among these 64 patients, according to the age of EC patients,65. 6% were 60 years old and 34. 4% were < 60 years old. The incidence of the malnutrition risk in patients with early,middle and late stage were 1. 6%,78. 1% and 20. 3%,respectively,and difference of three stages was statistical significant(P < 0. 05 or P < 0. 01) . The incidence of malnutrition risk was not correlated with the sex,lesion location, pathological type and degree of histology(P > 0. 05) . Conclusions: The incidence of malnutrition risk of patients with EC is high,NRS 2002 can help to find the NR of patients with EC,which has relations with the age and pathological stage of EC.

       

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