| 李小娟,练玉颖,杨宇.营养风险筛查 2002、微型营养评定简化版和老年营养风险指数在老年食管癌病人营养风险筛查中的应用[J].安徽医药,2024,28(12):2443-2447. |
| 营养风险筛查 2002、微型营养评定简化版和老年营养风险指数在老年食管癌病人营养风险筛查中的应用 |
| Application of nutritional risk screening 2002, mini nutritional assessment short-form, and geriatric nutritional risk index in screening nutritional risk among elderly patients with esophageal cancer |
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| DOI：10.3969/j.issn.1009-6469.2024.12.022 |
| 中文关键词: 食管肿瘤 营养风险 营养风险筛查 2002 微型营养评定简化版 老年人 营养风险指数 |
| 英文关键词: Esophageal neoplasms Nutritional risk Nutritional risk screening 2002 Mini nutritional assessment short form Aged Nutritional risk index |
| 基金项目:四川省卫健委课题( 18PJ544)；宜宾市卫健委科研课题( 2019YW020) |
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| 中文摘要: |
| 目的比较营养风险筛查 2002(NRS 2002)、微型营养评定简化版(MNA-SF)和老年营养风险指数( GNRI)在老年食管癌病人营养风险筛查中的一致性。方法选取 2019年 1月至 2021年 12月宜宾市第一人民医院的老年食管癌病人 160例，分别采用 NRS 2002、MNA-SF和 GNRI对其进行营养风险筛查，比较筛查结果的一致性。结果 NRS 2002、MNA-SF和 GNRI筛查的营养风险发生率分别为 48.13%(77/160)、 65.00%(104/160)和 63.75%(102/160)，NRS 2002筛查的营养风险发生率在不同年龄段、病程和是否手术治疗病人间差异有统计学意义(P<0.05)GNRI筛查的营养风险发生率接受放化疗者高于未接受放化疗者(69.49%比 47.62%，P<0.05)。若以 NRS 2002为“金标准”， NA-SF和 GNRI的 Kappa值分别为 0.59和 0.54(P<0.05)。若以 NRS 2002、MNA-SF和 GNRI任意 2种共同筛查阳性为“金标准”，NRS 2002、MNA-SF和 GNRI与“金标准”筛查的 Kappa值分别为 0.42、0.75和 0.67(P<0.05)。结论老年食管癌病人营养风险发生率高， NRS 2002、MNA-SF和 GNRI均可用于老年食管癌病M，人营养风险筛查，但 MNA-SF可能准确度更高。 |
| 英文摘要: |
| Objective To compare the consistency of nutritional risk screening 2002 (NRS 2002), Mini Nutritional Assessment Short-Form (MNA-SF) and geriatric nutritional risk index (GNRI) in screening nutritional risk among elderly patients with esophageal cancer (EC).Methods A hundred and sixty elderly EC patients, admitted to The First People's Hospital of Yibin from January 2019 to De-cember 2021, were selected to screen the nutritional risk by NRS 2002, MNA-SF and GNRI respectively, and the consistency of three methods was compared.Results The incidences of nutritional risk screened by NRS 2002, MNA-SF and GNRI were 48.13% (77/160),65.00% (104/160) and 63.75% (102/160), respectively. There were significant differences in nutritional risk incidence screened byNRS 2002 among patients with different age, course of disease and those undergoing surgery or not (P<0.05). The incidence of nutrition-al risk screened by GNRI in patients who received radiotherapy or chemotherapy was significantly higher than that in patients who didnot (69.49% vs. 47.62%, P<0.05). If NRS 2002 was considered as a golden standard for screening, the Kappa values of MNA-SF and GNRI were 0.59 and 0.54, respectively (P<0.05). If any two of the three methods were considered as a golden standard for co-screening positive result, the Kappa values of NRS 2002, MNA-SF and GNRI were 0.42, 0.75 and 0.67 (P<0.05).Conclusions The incidence of nutritional risk was high among elderly patients with esophageal cancer. NRS 2002, MNA-SF and GNRI all could be used for nutrition-al risk screening of elderly patients with esophageal cancer, but MNA-SF may achieve more accurate result. |
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