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
364-367
,共4页
叶国栋%朱明炜%崔红元%唐大年%安琦%门吉芳%韦军民
葉國棟%硃明煒%崔紅元%唐大年%安琦%門吉芳%韋軍民
협국동%주명위%최홍원%당대년%안기%문길방%위군민
营养风险%营养不良(不足)%老年患者%恶性肿瘤%腹部外科%胰腺癌
營養風險%營養不良(不足)%老年患者%噁性腫瘤%腹部外科%胰腺癌
영양풍험%영양불량(불족)%노년환자%악성종류%복부외과%이선암
Nutritional risk%Malnutrition%Elderly patients%Malignant tumor%Abdominal surgery%Pancreas cancer
目的 调查老年腹部外科恶性肿瘤住院患者营养风险和营养不良(不足)发生率.方法 采用定点连续抽样,以2009年12月至2010年11月北京医院普外科住院的269例老年腹部恶性肿瘤患者(≥65岁)为研究对象,入院后第2天早晨进行营养风险筛查2002,营养风险筛查评分≥3分认为存在营养风险；营养不良(不足)判断标准为体重指数＜ 18.5 kg/m2；同时与同期同类疾病的其他年龄组进行比较.结果 269例研究对象完成营养风险筛查,适用率为100％；普外科老年恶性肿瘤患者(≥65岁)的营养不良(不足)发生率为30.1％ (81/269),高龄老年患者(≥80岁)为37.5％ (21/56),其他年龄组为17.6％ (43/245) (P=0.001)；老年恶性肿瘤患者的营养风险发生率为38.3％(103/269),高龄患者为57.1％ (32/56),其他年龄组为29.3％ (72/245) (P＜0.001)；老年腹部恶性肿瘤患者中胰腺癌营养风险比例较高,而结直肠癌的发病率相对较低.结论 老年腹部外科恶性肿瘤住院患者营养风险和营养不良(不足)发生率明显高于其他年龄组,高龄老人营养状况更为严重,应重视老年恶性肿瘤患者的营养问题.
目的 調查老年腹部外科噁性腫瘤住院患者營養風險和營養不良(不足)髮生率.方法 採用定點連續抽樣,以2009年12月至2010年11月北京醫院普外科住院的269例老年腹部噁性腫瘤患者(≥65歲)為研究對象,入院後第2天早晨進行營養風險篩查2002,營養風險篩查評分≥3分認為存在營養風險；營養不良(不足)判斷標準為體重指數＜ 18.5 kg/m2；同時與同期同類疾病的其他年齡組進行比較.結果 269例研究對象完成營養風險篩查,適用率為100％；普外科老年噁性腫瘤患者(≥65歲)的營養不良(不足)髮生率為30.1％ (81/269),高齡老年患者(≥80歲)為37.5％ (21/56),其他年齡組為17.6％ (43/245) (P=0.001)；老年噁性腫瘤患者的營養風險髮生率為38.3％(103/269),高齡患者為57.1％ (32/56),其他年齡組為29.3％ (72/245) (P＜0.001)；老年腹部噁性腫瘤患者中胰腺癌營養風險比例較高,而結直腸癌的髮病率相對較低.結論 老年腹部外科噁性腫瘤住院患者營養風險和營養不良(不足)髮生率明顯高于其他年齡組,高齡老人營養狀況更為嚴重,應重視老年噁性腫瘤患者的營養問題.
목적 조사노년복부외과악성종류주원환자영양풍험화영양불량(불족)발생솔.방법 채용정점련속추양,이2009년12월지2010년11월북경의원보외과주원적269례노년복부악성종류환자(≥65세)위연구대상,입원후제2천조신진행영양풍험사사2002,영양풍험사사평분≥3분인위존재영양풍험；영양불량(불족)판단표준위체중지수＜ 18.5 kg/m2；동시여동기동류질병적기타년령조진행비교.결과 269례연구대상완성영양풍험사사,괄용솔위100％；보외과노년악성종류환자(≥65세)적영양불량(불족)발생솔위30.1％ (81/269),고령노년환자(≥80세)위37.5％ (21/56),기타년령조위17.6％ (43/245) (P=0.001)；노년악성종류환자적영양풍험발생솔위38.3％(103/269),고령환자위57.1％ (32/56),기타년령조위29.3％ (72/245) (P＜0.001)；노년복부악성종류환자중이선암영양풍험비례교고,이결직장암적발병솔상대교저.결론 노년복부외과악성종류주원환자영양풍험화영양불량(불족)발생솔명현고우기타년령조,고령노인영양상황경위엄중,응중시노년악성종류환자적영양문제.
Objective To investigate the prevalence of nutritional risk and malnutrition among hospitalized elderly abdominal surgical patients with malignant tumors.Methods Totally 269 elderly patents ( ≥ 65 years) with malignant tumor who were hospitalized in our department of abdominal surgery from December 2009 to November 2010 were consecutively enrolled.Nutritional Risk Screening 2002 ( NRS 2002 ) was performed on the next morning after admission.Body mass index (BMI) lower than 18.5 kg/m2 was considered as malnutrition.Results The NRS 2002 was completed in all the 269 enrolled patients.The overall prevalence of malnutrition was 30.1％ (81/269) ; more specifically,37.5％ (21/56) among geriatric patients ( ≥80 years) and 17.6％ (43/245) among the other age groups (P =0.001 ).The overall rate of nutrition risk was 38.3％ (103/269) ; more specifically,57.1％ (32/56) among the geriatric patients and 29.3％ (72/245) among the other age groups (P ＜0.001 ).The rate of nutrition risk in patients with pancreas cancer was 58.3％,which was higher than other elderly patients; on the contrary,and the rate of nutrition risk in the patients with colorectal cancer was relatively lower.Conclusion The rates of nutrition risk and malnutrition in hospitalized elderly abdominal surgical patients ( ≥ 65years) with malignant tumor are relatively higher than other age groups,especially among the geriatric patients.
