中华临床营养杂志
中華臨床營養雜誌
중화림상영양잡지
CHINESE JOURNAL OF CLINICAL NUTRITION
2011年
6期
368-371
,共4页
方玉%辛晓伟%王艳莉%杨锐%宗祥龙%张小田
方玉%辛曉偉%王豔莉%楊銳%宗祥龍%張小田
방옥%신효위%왕염리%양예%종상룡%장소전
胃肠肿瘤%营养风险%营养风险筛查2002%营养支持%术后并发症
胃腸腫瘤%營養風險%營養風險篩查2002%營養支持%術後併髮癥
위장종류%영양풍험%영양풍험사사2002%영양지지%술후병발증
Gastrointestinal carcinoma%Nutritional risk%Nutritional Risk Screening 2002%Nutritional support%Postoperative complications
目的 了解肿瘤专科医院胃肠肿瘤择期手术患者的营养风险及围手术期营养支持情况.方法 采用营养风险筛查2002方法调查我院胃肠外科2010年5至9月新入院胃肠肿瘤择期手术患者的营养风险及围手术期营养支持情况.结果 入院时存在营养风险的患者占43.6％ (85/195),有营养风险的患者术前营养支持率为11.7％ (10/85),术后营养支持率为100％ (85/85).无营养风险的患者术前营养支持率为0,术后营养支持率为84.5％ (93/110).有营养风险与无营养风险的患者术后并发症发生率分别为19.1％ (13/68)和7.1％ (9/127) (P=0.02).结论 胃肠肿瘤择期手术患者营养风险发生率较高,围手术期营养支持不尽合理.入院时存在营养风险的患者术后并发症发生率较高.需要继续推广基于证据的肠外肠内营养指南.
目的 瞭解腫瘤專科醫院胃腸腫瘤擇期手術患者的營養風險及圍手術期營養支持情況.方法 採用營養風險篩查2002方法調查我院胃腸外科2010年5至9月新入院胃腸腫瘤擇期手術患者的營養風險及圍手術期營養支持情況.結果 入院時存在營養風險的患者佔43.6％ (85/195),有營養風險的患者術前營養支持率為11.7％ (10/85),術後營養支持率為100％ (85/85).無營養風險的患者術前營養支持率為0,術後營養支持率為84.5％ (93/110).有營養風險與無營養風險的患者術後併髮癥髮生率分彆為19.1％ (13/68)和7.1％ (9/127) (P=0.02).結論 胃腸腫瘤擇期手術患者營養風險髮生率較高,圍手術期營養支持不儘閤理.入院時存在營養風險的患者術後併髮癥髮生率較高.需要繼續推廣基于證據的腸外腸內營養指南.
목적 료해종류전과의원위장종류택기수술환자적영양풍험급위수술기영양지지정황.방법 채용영양풍험사사2002방법조사아원위장외과2010년5지9월신입원위장종류택기수술환자적영양풍험급위수술기영양지지정황.결과 입원시존재영양풍험적환자점43.6％ (85/195),유영양풍험적환자술전영양지지솔위11.7％ (10/85),술후영양지지솔위100％ (85/85).무영양풍험적환자술전영양지지솔위0,술후영양지지솔위84.5％ (93/110).유영양풍험여무영양풍험적환자술후병발증발생솔분별위19.1％ (13/68)화7.1％ (9/127) (P=0.02).결론 위장종류택기수술환자영양풍험발생솔교고,위수술기영양지지불진합리.입원시존재영양풍험적환자술후병발증발생솔교고.수요계속추엄기우증거적장외장내영양지남.
Objective To investigate the prevalence of nutritional risk and perioperative nutritional support status in the gastrointestinal cancer surgical patients.Methods Adult inpatients from the gastrointestinal cancer surgery department of our hospital were consecutively enrolled from May to September 2010.Nutritional Risk Screening 2002 ( NRS 2002) was performed at admission,and data of the nutritional support and complications during hospitalization were collected.The relationship between nutritional risk and postoperative complications was analyzed.Results A total of 195 patients were eligible.At admission,43.6％ (85/195) patients were "at risk" Of the patients "at risk",totally 11.7％ (10/85) patients received preoperative nutritional support,and 100％ (85/85) patients received postoperative nutritional support; of the patients "not at risk",no patients received preoperative nutritional support,and 84.5％ (93/110) patients received postoperative nutritional support.The overall rates of postoperative complications were 19.1％ ( 13/68 ) in the patients "at risk" while 7.1％ (9/127 )in the patients "not at risk" ( P =0.02).Conclusions Nutritional risk in gastrointestinal cancer surgical patients was high.The application of nutritional support was inappropriate in these patients.The nutritional risk is associated with higher postoperative complications.Dissemination of evidence-based guidelines should be enhanced.
