| 陈博,徐阿曼,胡孔旺,等.围手术期消化道肿瘤患者营养风险与营养支持情况分析[J].安徽医药,2016,20(2):271-274. |
| 围手术期消化道肿瘤患者营养风险与营养支持情况分析 |
| Application of nutritional risk screening and nutrition support in patients with gastrointestinal cancer |
| 投稿时间：2015-10-08 |
| DOI： |
| 中文关键词: 营养风险筛查 消化道肿瘤 营养不足 营养支持 临床结局 |
| 英文关键词: nutritional risk screening gastrointestinal cancer undernutrition nutrition support clinical outcome |
| 基金项目: |
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| 中文摘要: |
| 目的 调查消化道肿瘤患者营养不良和营养风险状况,评估营养支持的使用合理性。方法 自2014年10月—2015年9月,以某三甲医院普外科和胸外科为对象,以NRS 2002为工具,采用连续抽样方式对围手术期患者营养不良和营养风险发生率进行调查,并收集临床资料。结果 有效调查人数为1 162例,营养不足者146例,占12.6%,营养风险总发生率为35.7%。各病种人群中存在营养风险者比例如下:结肠癌44.0%、胃癌40.0%、直肠癌33.3%、食道癌和肝癌分别为36.0%和33.0%。共453例(38.9%)接受营养支持,存在营养风险者中实施营养支持297例(71.6%),无营养风险者中实施营养支持156例(20.9%)。结论 住院患者存在营养不足和营养风险比例较高,并且临床应用营养支持尚有不合理之处。 |
| 英文摘要: |
| Objective To investigate the nutritional status of patients with the digestive tract malignant tumor on hospital admission and the application of clinical nutrition support in these patients.Methods From October 2014 to September 2015,the incidence of malnutrition and nutritional risk was investigated in hospitalized patients by continuous sampling method in general surgery and general thoracic surgery clinical departments in a large-sized hospital.Results 1 162 patients were successfully evaluated with the nutritional risk screening 2002.There were 146 patients with low-weight,accounting for 12.6%.The overall prevalence of nutrition risk was 35.7%.The proportion of patients with nutritional risk in various diseases is as follows:colon cancer (44.0%),gastric cancer (40.0%),rectal cancer (33.3%),esophageal cancer (36.0%),and liver cancer (33.0%).Nutrition support was provided to 453 patients (39.0%),among which 297 cases (71.6%) with nutritional risk received this support,andthe other 156 with no risk (20.9%) also received the same support. Conclusions The rates of undernutrition and nutritional risk were high in patients.The application of nutrition support was somewhat inappropriate in the hospital. |
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