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住院肿瘤患者营养评价及营养支持应用状况分析 被引量:10

Nutritional evaluation and support application analysis in inpatients with tumors
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摘要 目的探讨住院肿瘤患者营养状况与肿瘤发生部位、临床分期及营养支持治疗的相关性。方法新入院肿瘤患者102例,分别用"主观综合评价法(SGA)"和"营养风险筛查2002(NRS-2002)"进行营养不良和营养风险评估。结果住院肿瘤患者营养不良和营养风险的发生率分别为36.8%和50.5%,两法评价结果显著相关(P<0.01)。消化系统肿瘤患者营养不良和营养风险的发生率高于非消化系统肿瘤患者(P<0.01)。恶性肿瘤晚期患者营养不良和营养风险的发生率高于中期患者(P<0.01)。临床营养支持应用率为45.3%,肠外和肠内营养治疗的应用比例为6.2∶1。结论住院肿瘤患者营养不良和营养风险的发生率较高,与肿瘤发生部位、临床分期密切相关。应根据肿瘤患者病情及时给予科学合理的营养支持治疗。 Objective To investigate the relationship between the nutritional status and tumor location, clinical staging and nutritional support. Methods The evaluations of malnutrition and nutritional risk of 102 inpatients with tumors were performed by "subjective global assessment (SGA)" and nutritional risk screening 2002(NRS-2002)',respectively. Results The incidence rates of malnutrition and nutritional risk in the inpatients with tumors were 36.8% and 50.5%, respectively. The results reported by SGA and NRS-2002 were highly correlated (P〈0. 01 ). The incidence rates of malnutrition and nutritional risk were higher in the patients with gastrointestinal tumor than those in non-gastrointestinal cancer patients(P〈0. 01), which were higher in patients with advanced malignancies than those in patients with medium-term malignancies(P〈0. 01). The clinical nutritional support application rate was 45.3% and the application ratio of parenteral nutrition treatment to enteral nutrition treatment was 6.2 : 1. Conclusion The incidence rates of malnutrition and nutritional risk in tumor inpatients are higher, which are closely related with tumor location and clinical staging. An appropriate nutritional support therapy should be provided timely according to the progression of diseases in tumor patients.
出处 《江苏医药》 CAS 北大核心 2014年第3期306-309,共4页 Jiangsu Medical Journal
关键词 营养不良 营养风险筛查 Malnutrition Nutritional risk screening
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